Individual
CHRISTOPHER MARIO PEZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 PALM AVE, JACKSONVILLE, FL 32207-8432
(904) 202-7300
(904) 202-7433
Mailing address
PO BOX 45278, JACKSONVILLE, FL 32232-5278
(904) 202-2092
(904) 393-7603
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME129646
FL
2086X0206X
Surgical Oncology Physician
Primary
ME129646
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019497400
—
FL
01
—
P01775071
RR MEDICARE
FL
Enumeration date
10/26/2006
Last updated
04/02/2020
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