Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MR. CHASE LOGAN VAN DALEN
NPI 1710808308
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since July 21, 2026
3617 W GANDY BLVD, TAMPA, FL 33611(813) 337-5269 Get Directions Write a Review

NPPES record added: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Chase Logan Van Dalen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHASE LOGAN VAN DALEN (NPI 1710808308) is an individual student in an organized health care education/training program in Tampa, Florida, licensed in Florida (PSI48402) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1710808308
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. CHASE LOGAN VAN DALEN
Location Address3617 W GANDY BLVDTampa, FL 33611-2607
Mailing Address8333 Pine River RdTampa, FL 33637-1011 · (352) 602-9530
Sole ProprietorNo
Enumeration DateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
NPI 1710808308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in FL · PSI48402
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3617 W GANDY BLVD, Tampa, FL 33611

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
3617 W GANDY BLVD
TAMPA, FL 33611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chase Van Dalen's NPI number?

The NPI number for Chase Van Dalen is 1710808308. It was assigned to this individual provider in the NPPES registry on July 21, 2026.

Where is Chase Van Dalen located?

Chase Van Dalen practices at 3617 W Gandy Blvd, Tampa, FL 33611. The listed phone number is (813) 337-5269.

What is Chase Van Dalen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Chase Van Dalen was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.