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Individual

CHRISTOPHER ROBIN CROMWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
293 NW PEACOCK BLVD STE 201, PORT SAINT LUCIE, FL 34986-2222
(772) 204-8870
(772) 204-8873
Mailing address
293 NW PEACOCK BLVD STE 201, PORT SAINT LUCIE, FL 34986-2222
(772) 204-8870
(772) 204-8873

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
106293
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
200401193
NC
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME106293
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
138JW
BCBS
05
89138JW
NC
Enumeration date
06/17/2005
Last updated
03/07/2023
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