Individual
CHRISTOS JAMES PITARYS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14100 FIVAY ROAD, SUITE 110, HUDSON, FL 34667-7159
(727) 749-8771
(727) 842-4962
Mailing address
14100 FIVAY ROAD, SUITE 110, HUDSON, FL 34667-7159
(727) 749-8771
(727) 842-4962
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME57340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057377900
—
FL
01
—
060063895
RAILROAD MEDICARE
—
01
—
10443
BCBS
FL
01
—
169440
WELLCARE
FL
01
—
202415
AVMED
—
Enumeration date
05/26/2006
Last updated
09/30/2024
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