MEDICARE: MR. CHRISTOPHER MICHAEL FINK A.T.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
1	2255A2300X	Athletic Trainer	AL 1390	FL

General Provider Information

NPI Number	:	1952301590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER MICHAEL FINK A.T.C.

Provider Business Mailing Address
First Line	:	2490 LAKE VIEW BLVD
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33948-3726
Country	:	US
Telephone Number	:	941-380-0720
Fax Number	:	941-637-3117

Provider Business Practice Location Address
First Line	:	733 E OLYMPIA AVE
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-3841
Country	:	US
Telephone Number	:	941-637-2450
Fax Number	:	941-637-3117

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	07/08/2007

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