Healthcare Provider Details

I. General information

NPI: 1992092662
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL BARIANA D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2011
Last Update Date: 12/04/2023
Certification Date: 12/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 7TH ST S STE 205
ST PETERSBURG FL
33701-4748
US

IV. Provider business mailing address

601 7TH ST S STE 205
ST PETERSBURG FL
33701-4748
US

V. Phone/Fax

Practice location:
  • Phone: 727-893-6234
  • Fax: 727-553-7798
Mailing address:
  • Phone: 727-893-6234
  • Fax: 727-553-7798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberLL 1482
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number25MB09776800
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number25MB09776800
License Number StateNJ
# 4
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberOS16420
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: