Individual
CHRISTINE CERAVOLO CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
911 S MAIN ST, TRENTON, FL 32693-3239
(352) 463-2374
(352) 463-4503
Mailing address
10959 SE 25TH AVE, TRENTON, FL 32693-1997
(352) 283-2113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS 8553
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267400900
—
FL
01
—
81528
BC
FL
01
—
OS8553
MEDICAL LICENSE
FL
01
—
P00121393
RR MEDICARE
FL
01
—
U1121Z
PT B MEDICARE
FL
Enumeration date
07/10/2006
Last updated
03/07/2023
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