Provider Demographics
NPI:1235197666
Name:HUNT, CHRISTOPHER WADE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:WADE
Last Name:HUNT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11195 S JOG RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-1829
Mailing Address - Country:US
Mailing Address - Phone:561-733-9690
Mailing Address - Fax:561-733-9626
Practice Address - Street 1:11195 S JOG RD
Practice Address - Street 2:SUITE 3
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-1829
Practice Address - Country:US
Practice Address - Phone:561-733-9690
Practice Address - Fax:561-733-9626
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2016-10-27
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Provider Licenses
StateLicense IDTaxonomies
FLME 125833207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIPO21ZMedicare UPIN