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NPI Code Detail

MEDICARE: CHRIS HAMPER PA

MEDICARE: CHRIS HAMPER PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA0003304FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA0003304OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1386688950
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRIS HAMPER PA
Provider Business Mailing Address
First Line : 3191 CORAL WAY
Second Line : SUITE 303
City : CORAL GABLES
State : FL
Zip : 33145-3213
Country : US
Telephone Number : 305-461-6060
Fax Number : 305-461-5911
Provider Business Practice Location Address
First Line : 9030 KIMBERLY BLVD
Second Line :
City : BOCA RATON
State : FL
Zip : 33434-2823
Country : US
Telephone Number : 561-488-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 07/08/2007

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