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Organization

CHRISTOPHER MD & ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. INDUMATHI CHRISTOPHER MD (PHYSICIAN)
(850) 682-6320
Entity
Organization

Contact information

Practice address
131 E REDSTONE AVE, SUITE 107, CRESTVIEW, FL 32539-5326
(850) 682-6320
(850) 682-6339
Mailing address
131 E REDSTONE AVE, SUITE 107, CRESTVIEW, FL 32539-5326
(850) 682-6320
(850) 682-6339

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1431330005
CIGNA PROVIDER NUMBER
FL
01
2012340
FIRST HEALTH NUMBER
FL
01
2236414005
UNITED HEALTHCARE NUMBER
FL
05
274400700
FL
01
31703
BCBS PROVIDER NUMBER
FL
01
7689404
AETNA PROVIDER NUMBER
FL
Enumeration date
03/15/2007
Last updated
09/15/2022
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