Individual
MR. CHRISTOPHER ALLAN FANKBONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
555 W STATE ROAD 434, LONGWOOD, FL 32750-5119
(321) 842-2994
(407) 767-5801
Mailing address
555 W STATE ROAD 434, LONGWOOD, FL 32750-5119
(321) 842-2994
(407) 767-5801
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9297304
FL
363LF0000X
Family Nurse Practitioner
9297304
FL
Other
Enumeration date
01/05/2018
Last updated
02/13/2018
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