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Individual

DR. DEWEY A CHRISTMAS JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1050 W GRANADA BLVD, SUITE 4, ORMOND BEACH, FL 32174-8154
(386) 677-8808
(386) 677-9919
Mailing address
1050 W GRANADA BLVD, SUITE 4, ORMOND BEACH, FL 32174-8154
(386) 677-8808
(386) 677-9919

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME14979
FL

Other

Enumeration date
12/07/2005
Last updated
07/09/2007
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