Individual
DR. CHRISTOPHER L JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
997 US HIGHWAY 41 BYP N, SUITE 201, VENICE, FL 34285-6046
(941) 952-4220
(941) 952-4222
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME80315
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259226600
—
FL
01
—
35626
BCBS
FL
Enumeration date
02/22/2006
Last updated
02/19/2018
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