Male or Other

Christopher D. Alsup

Counselor in Starke, FL(View on Map)

Full Name

Christopher Daniel Alsup

NPI Number

1679099329

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/15/2017

Specialties

(Taxonomies)

Code

101Y00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

15435

Contact
Information

Purpose

Mailing
Location

Address

17356 US HIGHWAY 301 N
17356 US HIGHWAY 301 N

City

Starke
Starke

State

FL
FL

Postal Code

32091-1619
32091-1619

Country

US
US

Telephone Number

N/A
(904) 982-4113

Identifiers

Identifier

15435

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/15/2017

Provider Address

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