MEDICARE: DR. CHRISTOPHER XZANDER STAUDINGER MD

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
1	208600000X	Surgery Physician	ME120294	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1619312659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER XZANDER STAUDINGER MD

Provider Business Mailing Address
First Line	:	1143 NW 64TH TER
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32605-4218
Country	:	US
Telephone Number	:	352-331-1201
Fax Number	:	352-331-5273

Provider Business Practice Location Address
First Line	:	3140 NW MEDICAL CENTER LN STE 140
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32055-4735
Country	:	US
Telephone Number	:	386-466-6044
Fax Number	:	386-269-0966

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2013
Last Update Date	:	10/28/2017

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