Most Relevant Information
Provider Data
| NPI Number: | 1003421447 |
| Provider Name: | CHRISTEN MARIE VERRE BMO 79048 |
| Entity Type: | Individual |
| Taxonomy Code: | 247100000X |
| Specialty: | Radiologic Technologist |
| License Number: | 79048 |
Most Important Dates
| Enumeration Date: | 09/12/2020 |
| Last Updated: | 09/12/2020 |
Provider Practice Location
640 TYRONE BLVD N
ST PETERSBURG
FL
337107126
Practice Location Phone/Fax
| Phone: | 7275287827 |
| Fax: | 7272350063 |
Provider Mailing Location
640 TYRONE BLVD N
ST PETERSBURG
FL
337107126
Provider Mailing Phone/Fax
| Phone: | 7275103120 |
| Fax: | 7275287827 |