Individual
MISS CHRISTA L HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6011 CORTEZ RD W, BRADENTON, FL 34210-2709
(941) 792-5040
(941) 792-5026
Mailing address
6011 CORTEZ RD W, BRADENTON, FL 34210-2709
(941) 792-5040
(941) 792-5026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104596
FL
363AS0400X
Surgical Physician Assistant
PA9104596
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46721
BCBS OF FLORIDA
FL
Enumeration date
06/30/2008
Last updated
07/25/2012
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