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Individual

DR. CHRISTOPHER G CONSTANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2525 HARBOR BLVD, 310, PORT CHARLOTTE, FL 33952-5317
(941) 639-5665
(941) 255-8746
Mailing address
2525 HARBOR BLVD, SUITE 310, PORT CHARLOTTE, FL 33952-5317
(941) 639-5665

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME-0059168
FL
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
ME-0059168
FL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
ME-0059168
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26188
BCBS
FL
Enumeration date
08/26/2005
Last updated
05/14/2014
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