Individual
CHRISTOPHER M BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3225 S MACDILL AVE STE 12-269, TAMPA, FL 33629
(813) 474-9804
Mailing address
3225 S MACDILL AVE STE 12-269, TAMPA, FL 33629-8171
(813) 474-9804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME104319
FL
208000000X
Pediatrics Physician
Primary
ME104319
FL
208M00000X
Hospitalist Physician
ME104319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012056200
—
FL
01
—
14YR0
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/13/2007
Last updated
06/21/2019
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