Individual
DR. CHRISTOPHER ALAN HALLMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
Mailing address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2018-02790
NC
2085R0202X
Diagnostic Radiology Physician
35.125435
OH
2085R0202X
Diagnostic Radiology Physician
MD444023
PA
2085R0202X
Diagnostic Radiology Physician
Primary
ME153593
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113674000
—
FL
01
—
8C60C
BCBS
FL
01
—
O9839
MEDICARE PTAN OHRI
FL
01
—
PS274
MEDICARE PTAN OHMG
FL
Enumeration date
07/26/2013
Last updated
03/27/2023
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