Provider Demographics
NPI:1255918512
Name:DUPLAIN, CHRISTOPHER JARED (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JARED
Last Name:DUPLAIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-3773
Mailing Address - Country:US
Mailing Address - Phone:407-628-1081
Mailing Address - Fax:
Practice Address - Street 1:300 N PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-3773
Practice Address - Country:US
Practice Address - Phone:407-628-1081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2024-10-11
Deactivation Date:2024-10-03
Deactivation Code:
Reactivation Date:2024-10-08
Provider Licenses
StateLicense IDTaxonomies
FL21473207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine