Individual provider · Type 1 NPI

Dominic James Chiappetta, RPA-C

Surgical Physician Assistant · Daytona Beach, FL

NPI number 1699024877 Active

Practice location

305 Memorial Medical Pkwy Ste 505
Daytona Beach, FL 32117-5170

Fax (386) 231-3544

Mailing address

PO Box 947381
Atlanta, GA 30394-7381

Specialties and licenses

TaxonomyCodeLicense
Acupuncturist 171100000X001645-1 (NY)
Surgical Physician Assistant 363AS0400X005811 (NY)
Surgical Physician Assistant Primary 363AS0400XPA 9108080 (FL)

Surgical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1699024877

Dominic James Chiappetta, RPA-C's National Provider Identifier is 1699024877, issued on Sep 5, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Daytona Beach, FL. The record was last updated on Jan 3, 2023.