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Individual

CHRISTOPHER ANDREW ROYALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3801 S KANNER HWY STE 200, STUART, FL 34994-4801
(772) 219-4026
(772) 283-4919
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 781-2799
(772) 283-4919

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9110149
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021491800
FL
01
5GK0I
FLORIDA BLUE
FL
Enumeration date
02/28/2017
Last updated
10/15/2020
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