Provider Demographics
NPI:1205986916
Name:VENDRYES, CHRISTOPHER GEORGE (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:GEORGE
Last Name:VENDRYES
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 1:9526 NE 2ND AVE
Mailing Address - Street 2:SUITE #101
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-2750
Mailing Address - Country:US
Mailing Address - Phone:305-694-3775
Mailing Address - Fax:305-694-3697
Practice Address - Street 1:9526 NE 2ND AVE
Practice Address - Street 2:SUITE #101
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-2750
Practice Address - Country:US
Practice Address - Phone:305-694-3775
Practice Address - Fax:305-694-3697
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0039411207L00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL068066400Medicaid
D78965Medicare UPIN
FL068066400Medicaid