Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | ME136972 | FL |
N | 207ND0101X | MOHS-Micrographic Surgeon | ME136972 | FL |
NPI | 1053398446 |
---|---|
Provider Name | Christopher Drew Claudel |
First Address | Fort Myers, FL 33908-5182 |
Second Address | Estero, FL 33928-9582 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2005 |
Last Update Date | 15/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G77670 | (02) |