Healthcare Provider Details

I. General information

NPI: 1881476828
Provider Name (Legal Business Name): CAILIN MALINDA CHAPMAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2023
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 Number9118004
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: