Individual
DR. CHARLES J CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3085 DR MARTIN LUTHER KING ST N, ST PETERSBURG, FL 33704-2034
(727) 822-3238
(727) 823-1278
Mailing address
PO BOX 1830, CLEARWATER, FL 33757-1830
(727) 532-0002
(727) 532-1318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME9468
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00349497
RAILROAD MEDICARE NUMBER
FL
Enumeration date
05/27/2005
Last updated
07/08/2007
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