Healthcare Provider Details

I. General information

NPI: 1326628751
Provider Name (Legal Business Name): CHRISTOPHER KYLE DE ALLIE MD, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3663 S MIAMI AVE
MIAMI FL
33133-4237
US

IV. Provider business mailing address

1801 MICHIGAN AVE
MIAMI BEACH FL
33139-2418
US

V. Phone/Fax

Practice location:
  • Phone: 305-854-4400
  • Fax:
Mailing address:
  • Phone: 347-213-4952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME172876
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: