MEDICARE: MR. DONALD L CHAPMAN PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA9101696	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245239839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DONALD L CHAPMAN PA-C

Provider Business Mailing Address
First Line	:	1601 SW ARCHER RD # 111-D
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-1135
Country	:	US
Telephone Number	:	352-376-1611
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 SW ARCHER RD
Second Line	:	NF/SG VHS
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-1135
Country	:	US
Telephone Number	:	352-376-1611
Fax Number	:	352-374-6103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	12/06/2023

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