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Individual

DR. CHRISTINA F SHORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3301 W SAN JOSE ST, TAMPA, FL 33629-7155
(813) 835-6465
Mailing address
3301 W SAN JOSE ST, TAMPA, FL 33629-7155
(813) 835-6465

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME74250
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050079713
RAILROAD MEDICARE
05
254740600
FL
01
42851
BCBS
FL
Enumeration date
11/18/2005
Last updated
02/08/2016
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