Organization
ATLANTIS CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD NELSON CHIPMAN III M.D. (MEDICAL DIRECTOR)
(813) 891-6343
Entity
Organization
Contact information
Practice address
3705 TAMPA RD, #22, OLDSMAR, FL 34677-6300
(813) 891-6343
(813) 891-6342
Mailing address
3705 TAMPA RD. SUITE 22, OLDSMAR, FL 34677-6346
(813) 891-6343
(813) 891-6342
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257635000
—
FL
Enumeration date
07/21/2005
Last updated
11/13/2024
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