Healthcare Provider Details

I. General information

NPI: 1487747168
Provider Name (Legal Business Name): PAUL BRIAN CHAPLIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 06/08/2022
Certification Date: 06/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 ALTON RD STE 220
MIAMI BEACH FL
33140-2818
US

IV. Provider business mailing address

21000 NE 28TH AVE STE 104
AVENTURA FL
33180-1421
US

V. Phone/Fax

Practice location:
  • Phone: 305-674-2090
  • Fax: 305-674-2093
Mailing address:
  • Phone: 305-937-1999
  • Fax: 305-931-9741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0037481
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME37481
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: