Individual
DR. CHRISTOPHER MICHAEL MINELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5437 E SR 44, WILDWOOD, FL 34748-6014
(352) 787-1324
(352) 365-1003
Mailing address
5437 E SR 44, WILDWOOD, FL 34748-6014
(352) 787-1324
(352) 365-1003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS017467
PA
207R00000X
Internal Medicine Physician
Primary
OS19610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04625325
—
NY
05
—
102988225005
—
PA
Enumeration date
06/21/2012
Last updated
02/24/2023
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