Provider Demographics
NPI:1376822668
Name:NEY, CHRISTOPHER A (PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:A
Last Name:NEY
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 W BROADWAY ST STE 205
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-6472
Mailing Address - Country:US
Mailing Address - Phone:407-359-2100
Mailing Address - Fax:407-359-5445
Practice Address - Street 1:1410 W BROADWAY ST STE 205
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-6472
Practice Address - Country:US
Practice Address - Phone:407-355-9210
Practice Address - Fax:407-359-5445
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50003509363AS0400X
FLPA9115352363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical