Individual
KRISTOPHER BLAKE HAMWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5566 BROADCAST CT, LAKEWOOD RANCH, FL 34240-8471
(941) 800-2000
(941) 800-3000
Mailing address
5566 BROADCAST CT, LAKEWOOD RANCH, FL 34240-8471
(941) 800-2000
(941) 800-3000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
0101248740
VA
2086S0122X
Plastic and Reconstructive Surgery Physician
283325
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME135896
FL
Other
Enumeration date
05/19/2008
Last updated
05/11/2022
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