Healthcare Provider Details

I. General information

NPI: 1114847639
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL STELIOS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CHRIS M STELIOS RPH

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23540 GRACEWOOD CIR
LAND O LAKES FL
34639-4950
US

IV. Provider business mailing address

23540 GRACEWOOD CIR
LAND O LAKES FL
34639-4950
US

V. Phone/Fax

Practice location:
  • Phone: 631-455-2582
  • Fax:
Mailing address:
  • Phone: 631-455-2582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS18574
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: