Individual
CHRISTOPHER G RESTREPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2502 W SAINT ISABEL ST, TAMPA, FL 33607-6318
(813) 874-5707
Mailing address
2502 W SAINT ISABEL ST, TAMPA, FL 33607-6318
(813) 874-5707
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.30192
AL
208000000X
Pediatrics Physician
LL29779
SC
208000000X
Pediatrics Physician
MD.30192
AL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME115551
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118290
—
AL
05
—
118293
—
AL
01
—
1821298779
TRICARE SOUTH
AL
01
—
511-06202
BCBS
AL
01
—
511-06612
BCBS
AL
05
—
ME115551
—
FL
01
—
Z10935
VIVA HEALTH
AL
Enumeration date
07/19/2007
Last updated
06/02/2023
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