Individual
DR. CHRISTOPHER DAVID BERREZUETA REINOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 N FLORIDA AVE, LAKELAND, FL 33801-4902
(863) 209-7003
(863) 284-3083
Mailing address
1605 N CEDAR CREST BLVD STE 411, ALLENTOWN, PA 18104-2323
(610) 969-1917
(484) 664-7659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME147239
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6940524
DRIVEN LICENCE
PR
Enumeration date
06/20/2018
Last updated
10/07/2020
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