Healthcare Provider Details

I. General information

NPI: 1245273267
Provider Name (Legal Business Name): CHRIS GEORGE PAPPAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4608 OPA LOCKA LN STE 300
DESTIN FL
32541-0745
US

IV. Provider business mailing address

4608 OPA LOCKA LN STE 300
DESTIN FL
32541-0745
US

V. Phone/Fax

Practice location:
  • Phone: 850-270-7141
  • Fax: 448-203-3818
Mailing address:
  • Phone: 850-270-7141
  • Fax: 448-203-3818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberME113635
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME113635
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: