MEDICARE: STEVEN G CHAPMAN PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	PA9101379	FL

General Provider Information

NPI Number	:	1629050984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN G CHAPMAN PA-C

Provider Business Mailing Address
First Line	:	70 GOLF VIEW DR
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34472-5001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 GOLF VIEW DR
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34472-5001
Country	:	US
Telephone Number	:	352-732-9922
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	08/08/2007

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