Organization
CHRISTOPHER DEVINE DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DEVINE DO PA (PRESIDENT/PHYSICIAN)
(561) 791-4434
Entity
Organization
Contact information
Practice address
1395 S STATE ROAD 7 STE 300, WELLINGTON, FL 33414-9326
(561) 791-4434
(561) 795-2878
Mailing address
1395 S STATE ROAD 7 STE 300, WELLINGTON, FL 33414-9326
(561) 791-4434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7229
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252605100
—
FL
Enumeration date
06/03/2008
Last updated
10/24/2017
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