Individual
DR. CHRISTINA WALLIS CHAMBERLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
(305) 662-3723
Mailing address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
(305) 662-3723
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L2179
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
L2179
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME138065
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
RS2004-0628
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143487001
—
TX
05
—
143487002
—
TX
05
—
143487003
—
TX
05
—
143487004
—
TX
Enumeration date
06/18/2006
Last updated
12/06/2018
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