Provider Demographics
NPI:1932149960
Name:FINTON, CHRIS K (MD)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:K
Last Name:FINTON
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:PO BOX 561600
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32956-1600
Mailing Address - Country:US
Mailing Address - Phone:321-434-4656
Mailing Address - Fax:321-259-5130
Practice Address - Street 1:1355 S HICKORY ST
Practice Address - Street 2:SUITE 202
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3228
Practice Address - Country:US
Practice Address - Phone:321-434-5396
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME45396207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
D51454Medicare UPIN