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NPI Code Detail

MEDICARE: MICHAEL CHRISTIAN D.O.

MEDICARE: MICHAEL CHRISTIAN D.O.
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
1207P00000XEmergency Medicine PhysicianOS7591FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
156731OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558336826
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL CHRISTIAN D.O.
Provider Business Mailing Address
First Line : 14689 CANOPY DR
Second Line :
City : TAMPA
State : FL
Zip : 33626-3354
Country : US
Telephone Number : 305-304-8459
Fax Number :
Provider Business Practice Location Address
First Line : COMMUNITY HOSPITAL OF NEW PORT RICHEY
Second Line : 5637 MARINE PARKWAY
City : NEW PORT RICHEY
State : FL
Zip : 34652-4316
Country : US
Telephone Number : 727-845-9115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 07/08/2007

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