Individual
DR. CHARLES PAUL CHAPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
12084 CORTEZ BLVD, BROOKSVILLE, FL 34613-7371
(352) 684-1444
(352) 515-0920
Mailing address
12084 CORTEZ BLVD, BROOKSVILLE, FL 34613-7371
(352) 684-1444
(352) 515-0920
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P02751
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1400257
GHI
FL
05
—
340167700
—
FL
01
—
480031580
RAILROAD MEDICARE
FL
01
—
480034411
RAILROAD MEDICARE
FL
01
—
65693
B/C
FL
01
—
E2710Z
MEDICARE
FL
Enumeration date
08/02/2005
Last updated
04/15/2015
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