Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | 15003 | AL |
Y | 2080P0214X | Pediatric Pulmonologist | ME123630 | FL |
NPI | 1659489565 |
---|---|
Provider Name | Christopher M Makris |
First Address | Rockland, DE 19732-0191 |
Second Address | Pensacola, FL 32504-8785 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 24/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000028935 | (05) | AL |
000088744 | (05) | AL |
E68322 | (02) |