Healthcare Provider Details

I. General information

NPI: 1184847741
Provider Name (Legal Business Name): CHRISTOPHER LEHNHOFF P.A.-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7130 SW 87TH CT
MIAMI FL
33173-2511
US

IV. Provider business mailing address

7130 SW 87TH CT
MIAMI FL
33173-2511
US

V. Phone/Fax

Practice location:
  • Phone: 305-412-2800
  • Fax: 305-412-6045
Mailing address:
  • Phone: 305-412-2800
  • Fax: 305-412-6045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9102319
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: