# SURFSIDE NON-SURGICAL ORTHOPEDICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245649920
- **Authorized official:** DR. GLENN S CHAPMAN III D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (561) 901-3170

## Contact information

- **Practice address:** 4600 N OCEAN BLVD, SUITE 101, BOYNTON BEACH, FL 33435-7365
- **Practice address phone:** (561) 901-3170
- **Mailing address:** 4600 N OCEAN BLVD, SUITE 101, BOYNTON BEACH, FL 33435-7365
- **Mailing address phone:** (561) 901-3170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | OS9761 | FL | Yes |

## Other

- **Enumeration date:** 08/07/2014
- **Last updated:** 10/29/2014
