Provider Demographics
NPI:1710194725
Name:NOTO, KHRISTIAN A (MD)
Entity Type:Individual
Prefix:DR
First Name:KHRISTIAN
Middle Name:A
Last Name:NOTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1400 NE MIAMI GARDENS DR STE 221
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-4844
Mailing Address - Country:US
Mailing Address - Phone:305-335-0507
Mailing Address - Fax:305-596-3073
Practice Address - Street 1:1400 NE MIAMI GARDENS DR
Practice Address - Street 2:SUITE 221
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-4845
Practice Address - Country:US
Practice Address - Phone:305-351-8080
Practice Address - Fax:305-596-3073
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT185085208600000X
FLME110089208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFE523ZMedicare PIN