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Contact Information

JOHN A CRIST, DPM
1443 LAKELAND HILLS BLVD
LAKELAND, FL33805-3206
 Phone: 863-686-6200
 Fax: 813-752-0093
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JOHN A CRIST · (Male)

NPI # 1174675409
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/17/2007
Last updated 02/22/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PO 1768
  • FL Other 480012416 RAILROAD MEDICARE
  • FL Other 201805 STAYWELL PIN
  • FL Other 593105185 TAX ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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