Individual
CHRISTOPHER ALLEN GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 207, DAYTONA BEACH, FL 32117-5169
(386) 231-3414
(386) 231-3488
Mailing address
305 MEMORIAL MEDICAL PKWY STE 207, DAYTONA BEACH, FL 32117-5169
(386) 231-3414
(386) 231-3488
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
27210
WV
208600000X
Surgery Physician
35-07-3218-G
OH
208600000X
Surgery Physician
Primary
ME 125954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077345
—
OH
Enumeration date
08/15/2005
Last updated
02/18/2021
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