Provider Demographics
NPI:1427297753
Name:CHAPMAN, DEANNA C (CPO, LPO)
Entity type:Individual
Prefix:MS
First Name:DEANNA
Middle Name:C
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:CPO, LPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3870 NW 83RD ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-5601
Mailing Address - Country:US
Mailing Address - Phone:352-331-4221
Mailing Address - Fax:352-332-8074
Practice Address - Street 1:3870 NW 83RD ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-5601
Practice Address - Country:US
Practice Address - Phone:352-331-4221
Practice Address - Fax:352-332-8074
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPOR203224P00000X, 222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist