Healthcare Provider Details

I. General information

NPI: 1023801966
Provider Name (Legal Business Name): METAGEVITY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2025
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 4TH ST N STE 9369
ST PETERSBURG FL
33702-4305
US

IV. Provider business mailing address

7901 4TH ST N STE 9369
ST PETERSBURG FL
33702-4305
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: CAILIN MALINDA CHAPMAN
Title or Position: OWNER/PROVIDER
Credential: PA-C
Phone: 866-393-2673