Provider Demographics
NPI:1811907900
Name:WEBB, CHRISTIAAN ALLAN (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAAN
Middle Name:ALLAN
Last Name:WEBB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 12TH ST STE 104
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4084
Mailing Address - Country:US
Mailing Address - Phone:305-293-1830
Mailing Address - Fax:305-295-3537
Practice Address - Street 1:1111 12TH ST STE 104
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4084
Practice Address - Country:US
Practice Address - Phone:305-293-1830
Practice Address - Fax:305-295-3537
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME166815207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM2496OtherLICENSE NUMBER
TX1811907900Medicaid
FLME166815OtherFLORIDA MEDICAL LICENSE NUMBER
TX8G1496Medicare ID - Type Unspecified
TX178600601Medicaid