Individual
DR. CHRISTOPHER C MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4106 W LAKE MARY BLVD, 125, LAKE MARY, FL 32746-3315
(497) 333-3668
(407) 333-0219
Mailing address
4106 W LAKE MARY BLVD, 125, LAKE MARY, FL 32746-3315
(497) 333-3668
(407) 333-0219
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO1884
FL
332B00000X
Durable Medical Equipment & Medical Supplies
PO-0001884
FL
335E00000X
Prosthetic/Orthotic Supplier
PO-0001884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052045400
—
FL
01
—
59-3027964
TAXPAYER IDENTIFICATION NUMBER
—
Enumeration date
08/18/2005
Last updated
07/09/2010
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