| Chappel Family Practice Llc | |
|
222 Broadway, Suite 302 Kissimmee FL 34741 | |
| (407) 846-8180 | |
| (407) 347-4858 |
| Full Name | Chappel Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 222 Broadway, Suite 302, Kissimmee, Florida |
| Authorized Official Name and Position | Jaime Daniels (CEO) |
| Authorized Official Contact | 4078468180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chappel Family Practice Llc 222 Broadway, Suite 302 Kissimmee FL 34741 Ph: (407) 846-8180 | Chappel Family Practice Llc 222 Broadway, Suite 302 Kissimmee FL 34741 Ph: (407) 846-8180 |
| NPI Number | 1306031554 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306031554 | NPI | - | NPPES |
| 002495300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME36463 (Florida) | Primary |
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