Healthcare Provider Details

I. General information

NPI: 1962529271
Provider Name (Legal Business Name): CHRISTOPHER J POPE NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 10/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2044 TRINITY OAKS BLVD SUITE 235
TRINITY FL
34655-4405
US

IV. Provider business mailing address

2044 TRINITY OAKS BLVD SUITE 235
NEW PORT RICHEY FL
34655-3908
US

V. Phone/Fax

Practice location:
  • Phone: 727-375-5437
  • Fax: 727-375-0502
Mailing address:
  • Phone: 727-375-5437
  • Fax: 727-375-0502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP9195351
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: