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Organization
CHRIS PITTMAN MD PA
Active
Organization
CHRIS PITTMAN MD PA
Active
Other names
Vein911
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. CHRIS PITTMAN M.D. (OWNER)
(855) 834-6911
Entity
Organization
Contact information
Practice address
2815 W VIRGINIA AVE, SUITE A, TAMPA, FL 33607-6357
(855) 834-6911
(813) 443-5600
Mailing address
1099 SHIPWATCH CIR, TAMPA, FL 33602-5736
(855) 834-6911
(813) 443-5600
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME0064760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088J
FL BLUE
FL
05
—
01472670
—
FL
01
—
4687430
AETNA
FL
01
—
DW0684
MEDICARE RAILROAD
FL
Enumeration date
12/29/2010
Last updated
05/04/2016
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