Provider Demographics
NPI:1619312659
Name:STAUDINGER, CHRISTOPHER XZANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:XZANDER
Last Name:STAUDINGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1143 NW 64TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4218
Mailing Address - Country:US
Mailing Address - Phone:352-331-1201
Mailing Address - Fax:352-331-5273
Practice Address - Street 1:3140 NW MEDICAL CENTER LN STE 140
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32055-4735
Practice Address - Country:US
Practice Address - Phone:386-466-6044
Practice Address - Fax:386-269-0966
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-03
Last Update Date:2017-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME120294208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013226000Medicaid