Healthcare Provider Details

I. General information

NPI: 1730169848
Provider Name (Legal Business Name): CHRISTOPHER BRIAN CAVE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 01/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8990 NAVARRE PARKWAY FAMILY MEDICINE DEPARTMENT
NAVARRE FL
32566
US

IV. Provider business mailing address

8990 NAVARRE PKWY SUITE A
NAVARRE FL
32566-2157
US

V. Phone/Fax

Practice location:
  • Phone: 850-396-0108
  • Fax: 850-939-4933
Mailing address:
  • Phone: 850-396-0108
  • Fax: 850-939-4933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME 85300
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: