Healthcare Provider Details

I. General information

NPI: 1609719434
Provider Name (Legal Business Name): CORE METABOLIC HEALTH CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 ISLEBAY DR
APOLLO BEACH FL
33572-3336
US

IV. Provider business mailing address

615 ISLEBAY DR
APOLLO BEACH FL
33572-3336
US

V. Phone/Fax

Practice location:
  • Phone: 866-393-2673
  • Fax: 800-854-4898
Mailing address:
  • Phone: 866-393-2673
  • Fax: 800-854-4898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAILIN MALINDA CHAPMAN
Title or Position: OWNER, PROVIDER, ORGANIZER
Credential: PA-C
Phone: 866-393-2673