Provider Demographics
NPI:1508148933
Name:ROEVER, CHRISTOPHER PAUL (DPM)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:PAUL
Last Name:ROEVER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:42674 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-6211
Mailing Address - Country:US
Mailing Address - Phone:727-937-6398
Mailing Address - Fax:727-937-6568
Practice Address - Street 1:42674 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-6211
Practice Address - Country:US
Practice Address - Phone:727-937-6398
Practice Address - Fax:727-937-6568
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2021-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3572213E00000X
NYR80744213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist