Provider Demographics
NPI:1023425253
Name:PAVONETTI, CHRISTOPHER FRANCIS
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:FRANCIS
Last Name:PAVONETTI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:876 ROSER PARK DR S
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4702
Mailing Address - Country:US
Mailing Address - Phone:713-319-7272
Mailing Address - Fax:
Practice Address - Street 1:876 ROSER PARK DR S
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4702
Practice Address - Country:US
Practice Address - Phone:713-319-7272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator