Organization
SURFSIDE NON-SURGICAL ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN S CHAPMAN III D.O. (MEDICAL DIRECTOR)
(561) 901-3170
Entity
Organization
Contact information
Practice address
4600 N OCEAN BLVD, SUITE 101, BOYNTON BEACH, FL 33435-7365
(561) 901-3170
Mailing address
4600 N OCEAN BLVD, SUITE 101, BOYNTON BEACH, FL 33435-7365
(561) 901-3170
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OS9761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS9761
MEDICAL LICENSE
FL
Enumeration date
08/07/2014
Last updated
10/29/2014
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