Mason, Christopher C

Mason, Christopher C is an sole proprietor health care provider with primary practice located at 4106 W Lake Mary Blvd 125, Lake Mary FL 32746-3315. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Mason, Christopher C can be contacted via phone (497) 333-3668.

Contact Information

Primary practice address
4106 W Lake Mary Blvd 125 Lake Mary FL 32746-3315
Fax: (407) 333-0219
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO1884 Florida
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PO-0001884 Florida
Suppliers / Prosthetic/Orthotic Supplier 335E00000X PO-0001884 Florida

Profile Details

NPI number 1710979554
LBN Legal business name Mason, Christopher C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2005
Last updated Jul 9th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710979554 NPPES
Other 59-3027964 TAXPAYER IDENTIFICATION NUMBER
MEDICAID 052045400 TAXPAYER IDENTIFICATION NUMBER

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