Organization
CHRISTOPHER C. MASON, D.P.M., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER C MASON DPM (PHYSICIAN)
(407) 333-3668
Entity
Organization
Contact information
Practice address
4106 W LAKE MARY BLVD, SUITE 125, LAKE MARY, FL 32746-3315
(407) 333-3668
(407) 333-3435
Mailing address
4106 W LAKE MARY BLVD, SUITE 125, LAKE MARY, FL 32746-3315
(407) 333-3668
(407) 333-3435
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO-0001884
FL
332B00000X
Durable Medical Equipment & Medical Supplies
PO-0001884
FL
335E00000X
Prosthetic/Orthotic Supplier
PO-0001884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052045400
—
FL
Enumeration date
06/01/2010
Last updated
01/18/2012
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