MEDICARE: CHRISTOPHER J. PATRINO DMD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN14773	FL

General Provider Information

NPI Number	:	1801941646
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTOPHER J. PATRINO DMD PA

Provider Business Mailing Address
First Line	:	2111 W SWANN AVE
Second Line	:	SUITE 201
City	:	TAMPA
State	:	FL
Zip	:	33606-2477
Country	:	US
Telephone Number	:	813-251-3911
Fax Number	:

Provider Business Practice Location Address
First Line	:	2111 W SWANN AVE
Second Line	:	SUITE 201
City	:	TAMPA
State	:	FL
Zip	:	33606-2477
Country	:	US
Telephone Number	:	813-251-3911
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHRISTOPHER J PATRINO
Credential	:	DMD
Telephone Number	:	813-251-3911

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	08/22/2020

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