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General NPI Number Information
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NPI Number | 1053816355
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Entity Type | Individual
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Provider Name | CHRISTOPHER STEPHEN IZZO D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 2639 DR ML KING JR ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33704-2733
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Country | US
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Telephone | 727-822-6661
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Fax |
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Provider Business Mailing Address
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Address Line | 2639 DR ML KING JR ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33704-2733
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Country | US
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Telephone | 727-822-6661
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 17514
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License Number State | FL
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