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Provider Information for 1528294618

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. CHRISTOPHER WILLIAM GRAYSON M.D.

Gender: MALE

Individual NPI: 1528294618

Calendar   Last Updated:  2020-01-27
  Certification Date:  2020-01-27

Details

Name Value
NPI 1528294618
Enumeration Date 2009-06-03
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 36413 US HIGHWAY 19 N
PALM HARBOR, FL 34684-1329
United States

Phone: 813-978-9700 | Fax:
View Map External Link
Primary Practice Address 13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0925
United States

Phone: 813-978-9700 | Fax: 813-558-6157
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other BCBS FL 14Z8M
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207X00000X - Orthopaedic Surgery FL ME119111