Healthcare Provider Details

I. General information

NPI: 1710194725
Provider Name (Legal Business Name): KHRISTIAN A NOTO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 04/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 NE MIAMI GARDENS DR SUITE 221
NORTH MIAMI BEACH FL
33179-4845
US

IV. Provider business mailing address

1400 NE MIAMI GARDENS DR STE 221
NORTH MIAMI BEACH FL
33179-4844
US

V. Phone/Fax

Practice location:
  • Phone: 305-351-8080
  • Fax: 305-596-3073
Mailing address:
  • Phone: 305-335-0507
  • Fax: 305-596-3073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMT185085
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberME110089
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: