Healthcare Provider Details

I. General information

NPI: 1689081689
Provider Name (Legal Business Name): DANIELLE CHAPLIN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2014
Last Update Date: 09/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3780 NW 83RD ST
GAINESVILLE FL
32606-5603
US

IV. Provider business mailing address

3780 NW 83RD ST
GAINESVILLE FL
32606-5603
US

V. Phone/Fax

Practice location:
  • Phone: 352-377-2022
  • Fax: 352-377-9113
Mailing address:
  • Phone: 352-377-2022
  • Fax: 352-377-9113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberARNP9310509
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: