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Individual

CHRISTINE M. DAMIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 870-4933
(813) 870-4887
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 377-5667
(888) 241-1404

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME96671
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2764849-00
FL
01
56481
BCBSFL
FL
01
P00363493
RR MEDICARE
FL
Enumeration date
08/15/2006
Last updated
11/28/2011
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