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Individual

MARY N CHRISOCHOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-8420
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-8420

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
69179
GA
208000000X
Pediatrics Physician
Primary
OS14169
FL

Other

Enumeration date
04/22/2010
Last updated
03/01/2023
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