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Organization

CHRIS PITTMAN MD PA

Active
Other names
Vein911
Organization subpart
No

Provider details

NPI number
Authorized official
DR. C. CHRIS PITTMAN M.D. (OWNER)
(855) 834-6911
Entity
Organization

Contact information

Practice address
2815 W VIRGINIA AVE, SUITE A, TAMPA, FL 33607-6357
(855) 834-6911
(813) 443-5600
Mailing address
1099 SHIPWATCH CIR, TAMPA, FL 33602-5736
(855) 834-6911
(813) 443-5600

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME0064760
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0088J
FL BLUE
FL
05
01472670
FL
01
4687430
AETNA
FL
01
DW0684
MEDICARE RAILROAD
FL
Enumeration date
12/29/2010
Last updated
05/04/2016
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