Individual
NIKITA CHAPURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-8605
(352) 273-5199
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
87733
SC
207Y00000X
Otolaryngology Physician
Primary
ME160393
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118694500
—
FL
Enumeration date
04/01/2017
Last updated
07/30/2023
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