MEDICARE: CHRISTOPHER CHAMNESS

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	207P00000X	Emergency Medicine Physician	520104913250	FL

General Provider Information

NPI Number	:	1972469054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER CHAMNESS

Provider Business Mailing Address
First Line	:	11212 AVERY OAKS DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-4018
Country	:	US
Telephone Number	:	262-620-0151
Fax Number	:

Provider Business Practice Location Address
First Line	:	11212 AVERY OAKS DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-4018
Country	:	US
Telephone Number	:	262-620-0151
Fax Number	:

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

Provider Enumeration Date	:	01/01/2026
Last Update Date	:	01/01/2026

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Directions to “ CHRISTOPHER CHAMNESS ” Practice Location

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