Provider Demographics
NPI:1841401957
Name:FOTI, CHRISTOPHER J (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:FOTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6101 BLUE LAGOON DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2055
Mailing Address - Country:US
Mailing Address - Phone:844-630-0700
Mailing Address - Fax:877-374-1924
Practice Address - Street 1:1511 COMMERCE BLVD STE 6
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-2063
Practice Address - Country:US
Practice Address - Phone:337-381-2033
Practice Address - Fax:877-258-1537
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2025-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA201099207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1092193Medicaid
LA4N070Medicare PIN