Provider Demographics
NPI:1801968490
Name:STELLY, CHRISTOPHER TODD (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:TODD
Last Name:STELLY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3665 TAMIAMI TRL
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-7200
Mailing Address - Country:US
Mailing Address - Phone:941-575-9300
Mailing Address - Fax:941-575-9394
Practice Address - Street 1:3665 TAMIAMI TRL
Practice Address - Street 2:SUITE 101
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-7200
Practice Address - Country:US
Practice Address - Phone:941-575-9300
Practice Address - Fax:941-575-9394
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2008-03-06
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Provider Licenses
StateLicense IDTaxonomies
FLME0069687207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL31211CMedicare UPIN
FLF91310Medicare UPIN
FL4633890001Medicare NSC