Organization
CLYDE A CHAPMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLYDE ALLEN CHAPMAN OD (PRESIDENT)
(561) 278-1116
Entity
Organization
Contact information
Practice address
1100 LINTON BLVD STE C7, DELRAY BEACH, FL 33444-1146
(561) 278-1116
(561) 278-1196
Mailing address
1100 LINTON BLVD STE C7, DELRAY BEACH, FL 33444-1146
(561) 278-1116
(561) 278-1196
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP0002023
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078531801
—
FL
01
—
410026804
MEDICARE ID
FL
Enumeration date
05/27/2008
Last updated
05/27/2008
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