Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chanel St Martin, PA

Individual provider Physician Assistant · NPI 1649883570

Chanel St Martin, PA is a Physician Assistant in Lecanto, Florida. Works from 6 locations. Licensed in Arizona, Florida and Puerto Rico.

Licensed in
AZ, FL, PR
In the registry since
2020
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2385 N Lecanto Hwy
Lecanto, FL 34461-9677
Phone: (352) 527-6888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 3565 E Suzie Ln, Inverness, FL 34452-3250 — (352) 527-6888
  • 3580 E Gulf To Lake Hwy, Inverness, FL 34453-3207 — (352) 527-6888
  • 2805 W Flare Ln, Lecanto, FL 34461 — (352) 527-6888
  • 1990 N Prospect Ave, Lecanto, FL 34461-9792 — (352) 527-6888
  • 1982 N Prospect Ave, Lecanto, FL 34461-9792 — (352) 527-6888

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PACN1 (FL)
Physician Assistant Taxonomy 363A00000X · Licence TPPA184 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 000758-PA (PR)
Physician Assistant Taxonomy 363A00000X · Licence 8551 (AZ)

Record details

NPI number1649883570
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 29, 2020
Last updated in NPPESMarch 12, 2025
Certification dateMarch 10, 2025

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