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

Mr. Chase Logan Van Dalen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710808308

Mr. Chase Logan Van Dalen is a Student in an Organized Health Care Education/Training Program in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

3617 W Gandy Blvd
Tampa, FL 33611-2607
Phone: (813) 337-5269
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence PSI48402 (FL)

Record details

NPI number1710808308
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 21, 2026
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address8333 Pine River Rd, Tampa, FL 33637-1011

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