Healthcare Provider Details

I. General information

NPI: 1699987339
Provider Name (Legal Business Name): ARTHUR B. CHAUSMER MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 12/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16103 CEDAR KEY DR
WIMAUMA FL
33598-4084
US

IV. Provider business mailing address

16103 CEDAR KEY DR
WIMAUMA FL
33598-4084
US

V. Phone/Fax

Practice location:
  • Phone: 803-397-8039
  • Fax: 813-812-6067
Mailing address:
  • Phone: 803-397-8039
  • Fax: 813-813-6067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number38345
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: