Chappel Group, Llc | |
2711 N Orange Blossom Trail Kissimmee FL 34744-1373 | |
(321) 337-0700 | |
Not Available |
Full Name | Chappel Group, Llc |
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Speciality | Clinic/Center |
Location | 2711 N Orange Blossom Trail, Kissimmee, Florida |
Authorized Official Name and Position | Christopher Mark Chappel (OWNER/DOCTOR) |
Authorized Official Contact | 4072887663 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chappel Group, Llc Po Box 421407 Kissimmee FL 34742-1407 Ph: (321) 337-0700 | Chappel Group, Llc 2711 N Orange Blossom Trail Kissimmee FL 34744-1373 Ph: (321) 337-0700 |
NPI Number | 1326442005 |
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Provider Enumeration Date | 10/09/2014 |
Last Update Date | 02/26/2016 |
Medicare PECOS PAC ID | 0840513230 |
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Medicare Enrollment ID | O20141215002212 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326442005 | NPI | - | NPPES |
PENDING | Other | FL | PENDING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Christopher Mark Chappel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174589469 PECOS PAC ID: 2365534989 Enrollment ID: I20070827000561 |
Provider Name | Kelli Denise Lewis-foltin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427287929 PECOS PAC ID: 3779617980 Enrollment ID: I20100810000451 |
Provider Name | Jennifer M Waddy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598992646 PECOS PAC ID: 8022265529 Enrollment ID: I20120905000348 |
Provider Name | Garry Beaubrun Antoine |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1689073819 PECOS PAC ID: 8820301641 Enrollment ID: I20150722004092 |
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