Individual
GEORGE MARCEL DORTA CHAPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1539 DALE MABRY HWY STE 102, LUTZ, FL 33548-3008
(813) 909-7102
(813) 909-0199
Mailing address
10618 DEERBERRY DR, LAND O LAKES, FL 34638-6890
(813) 453-5023
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2307-P.A.
PR
363A00000X
Physician Assistant
Primary
PACN69
FL
Other
Enumeration date
09/24/2024
Last updated
07/16/2025
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