Individual
DR. CHRISTOPHER VONDERHEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W COCOA BEACH CSWY, CAPE CANAVERAL HOSPITAL, COCOA BEACH, FL 32931-3585
(321) 868-7677
(321) 868-7291
Mailing address
PO BOX 561600, ROCKLEDGE, FL 32956-1600
(321) 434-4600
(321) 259-0635
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME66725
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376513000
—
FL
Enumeration date
06/07/2006
Last updated
06/28/2012
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