Male or Other

Mr. Christian A. Staniec PA-C

Physician Assistant in Melbourne, FL(View on Map)

Full Name

Mr. Christian Anthony Staniec PA-C

NPI Number

1003871849

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/17/2006

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9102247

Contact
Information

Purpose

Mailing
Location

Address

1515 W NASA BLVD
6032 FARCENDA PL

City

Melbourne
Melbourne

State

FL
FL

Postal Code

32901-2605
32940-7341

Country

US
US

Telephone Number

(321) 308-0659
(321) 608-8160

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

Data last updated by provider on 01/23/2015

Provider Address

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