Individual
CHRISTOPHER ROBERT VAILLANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
2311 W MORRISON AVE, UNIT #20, TAMPA, FL 33629-4764
(813) 972-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME 88614
FL
Other
Enumeration date
08/05/2006
Last updated
07/17/2007
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