Individual
RICHARD KENT CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
4215 EDGEWATER DR, ORLANDO, FL 32804-2206
(407) 539-2000
(407) 398-0050
Mailing address
PO BOX 4059, WAYNE, NJ 07474-4059
(973) 826-8291
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2630
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290122600
—
FL
01
—
HF826A
MEDICARE GROUP PTAN
FL
01
—
P01393508
RR MEDICARE
FL
Enumeration date
09/12/2005
Last updated
03/11/2021
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