Individual
CHRISTOPHER GENE RIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8380 RIVERWALK PARK BLVD, FORT MYERS, FL 33919-8758
(239) 343-9960
(239) 343-9977
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(232) 343-9960
(239) 343-9977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106680
FL
363AM0700X
Medical Physician Assistant
PA60115659
WA
363AM0700X
Medical Physician Assistant
PA9106680
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006666500
—
FL
01
—
2158989
CIGNA
FL
01
—
398635
AVMED
FL
01
—
5751998
AETNA
FL
01
—
716610
WELLCARE
FL
01
—
P01318692
RR MEDICARE
FL
01
—
P1015361
FREEDOM
FL
01
—
P954204
OPTIMUM
FL
01
—
YOC73
BCBS OF FL
FL
Enumeration date
09/30/2009
Last updated
03/30/2021
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