Provider Demographics
NPI:1699778910
Name:HILL, CHRISTOPHER (DO)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:HILL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2254 HIGHWAY A1A
Mailing Address - Street 2:
Mailing Address - City:INDIAN HARBOUR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-4922
Mailing Address - Country:US
Mailing Address - Phone:213-777-2273
Mailing Address - Fax:213-779-7425
Practice Address - Street 1:110 LONGWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-0000
Practice Address - Country:US
Practice Address - Phone:800-476-8646
Practice Address - Fax:919-382-3210
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8088207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL51842OtherBCBS GROUP # 34457
FL260361600Medicaid
FL51842OtherBCBS GROUP # 45368
FLG56247Medicare UPIN
FL51842CMedicare ID - Type UnspecifiedGROUP # 34457
FL51842BMedicare ID - Type UnspecifiedGROUP # 45368
FL260361600Medicaid