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Individual

CHRISTOPHER S ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
930 KINGSLEY AVE, ORANGE PARK, FL 32073-4761
(904) 269-0500
(904) 269-9805
Mailing address
930 KINGSLEY AVE, ORANGE PARK, FL 32073-4761
(904) 269-0500
(904) 269-9805

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105985
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
600-51723
BCBS OF AL
AL
01
600-51724
BCBS OF AL
AL
Enumeration date
12/03/2007
Last updated
06/14/2011
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