Healthcare Provider Details

I. General information

NPI: 1699942664
Provider Name (Legal Business Name): SILENA CHAPMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SILENA CHRISTINE ELIZABETH DUKES M.D.

II. Dates (important events)

Enumeration Date: 05/09/2008
Last Update Date: 06/01/2023
Certification Date: 06/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CELEBRATION PL
KISSIMMEE FL
34747-4970
US

IV. Provider business mailing address

620 JOHN PAUL JONES CIR
PORTSMOUTH VA
23708-2111
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-2528
  • Fax: 407-303-2760
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036-129641
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number036-129641
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberME161225
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: