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Individual

DR. CHRISTOPHER MICHAEL ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2501 N ORANGE AVE, SUITE 200, ORLANDO, FL 32804-4603
(407) 303-7265
(407) 303-7265
Mailing address
2501 N ORANGE AVE, SUITE 200, ORLANDO, FL 32804-4603
(407) 303-7265
(407) 303-7265

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2009023875
MO
2086S0120X
Pediatric Surgery Physician
Primary
ME101934
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316079411
MO
05
179100001
AR
01
431560263
TRICARE WEST
Enumeration date
03/12/2007
Last updated
02/26/2016
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