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NPI Code Detail

MEDICARE: CHRISTOPHER CHARLES HOPPER PA-C

MEDICARE: CHRISTOPHER CHARLES HOPPER PA-C
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 Assistant
2363A00000XPhysician AssistantPA9119948FL

General Provider Information

NPI Number : 1417768219
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER CHARLES HOPPER PA-C
Provider Business Mailing Address
First Line : 5305 GREENWOOD AVE STE 204
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-2449
Country : US
Telephone Number : 561-882-6060
Fax Number : 561-845-2297
Provider Business Practice Location Address
First Line : 5305 GREENWOOD AVE STE 204
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-2449
Country : US
Telephone Number : 561-882-6060
Fax Number : 561-845-2297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2025
Last Update Date : 05/13/2025

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Directions to “ CHRISTOPHER CHARLES HOPPER PA-C” Practice Location

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