Individual
DR. CHRISTOPHER G NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, MDC 79, TAMPA, FL 33612-4742
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME19963
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003538600
—
FL
01
—
78995
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/09/2005
Last updated
08/11/2011
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