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Individual

MR. CHRIS M POWELL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5027 CENTRAL AVE, ST PETERSBURG, FL 33710-8240
(727) 321-5678
(727) 321-5788
Mailing address
5027 CENTRAL AVE, ST PETERSBURG, FL 33710-8240
(727) 321-5678
(727) 321-5788

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P02943
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
801705
FL
Enumeration date
05/09/2006
Last updated
07/08/2007
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