Organization
THE NEUROSURGICAL GROUP SISCO & TIPPETT CHAPLEAU & FRANK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E CHAPLEAU M.D. (PRESIDENT-DIRECTOR)
(850) 444-7050
Entity
Organization
Contact information
Practice address
1717 N E ST, SUITE 422, PENSACOLA, FL 32501-6339
(850) 444-7050
(850) 434-8879
Mailing address
1717 N E ST, SUITE 401, PENSACOLA, FL 32501-6378
(850) 444-7050
(850) 434-8879
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036686200
—
FL
Enumeration date
07/31/2006
Last updated
03/27/2015
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