Organization
FAMILY PRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN S CHAPMAN MD (DIRECTOR)
(954) 486-1925
Entity
Organization
Contact information
Practice address
4699 N STATE ROAD 7, SUITE B-2, LAUDERDALE LAKES, FL 33319-5879
(954) 486-1925
(954) 486-1983
Mailing address
4699 N STATE ROAD 7, SUITE B-2, LAUDERDALE LAKES, FL 33319-5879
(954) 486-1925
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME36462
FL
Other
Enumeration date
10/11/2006
Last updated
10/09/2007
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