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

Chantal Rubio

Individual provider Nurse Practitioner · NPI 1780557546

Chantal Rubio is a Nurse Practitioner in Panama City, Florida. Qualified in 2025, 1 year ago. Practices with Dynamic Pain and Wellness LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

2110 W 23rd St Ste A
Panama City, FL 32405-2370
Phone: (850) 226-6801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11042494 (FL)

Record details

NPI number1780557546
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2025
Last updated in NPPESSeptember 27, 2025
Certification dateSeptember 27, 2025
Mailing address1236 Sw 104th Ct, Miami, FL 33174-2609

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Dynamic Pain And Wellness Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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