Individual
CARRIE M CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1223 GATEWAY DR STE 2A, MELBOURNE, FL 32901-2607
(321) 434-9230
(321) 434-8229
Mailing address
3300 S. FISKE BLVD., CREDENTIALING, ROCKLEDGE, FL 32955-4306
(321) 434-9230
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117323200
—
FL
01
—
AC979W
MEDICARE
FL
Enumeration date
01/25/2007
Last updated
04/21/2026
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