Individual
MR. DOMINIC JAMES CHIAPPETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 505, DAYTONA BEACH, FL 32117-5170
(386) 231-3540
(386) 231-3544
Mailing address
PO BOX 947381, ATLANTA, GA 30394-7381
(386) 231-3540
(386) 231-3544
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
001645-1
NY
363AS0400X
Surgical Physician Assistant
005811
NY
363AS0400X
Surgical Physician Assistant
Primary
PA 9108080
FL
Other
Enumeration date
09/05/2012
Last updated
01/03/2023
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