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Individual

MR. CHRISTOPHER ROBERT DOROTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1321
(863) 284-1786
Mailing address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
(863) 630-6528

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
83521
SC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
OS9268
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
270407200
FL
01
48331U
MEDICARE - FL
FL
Enumeration date
04/06/2006
Last updated
04/07/2022
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