Provider Demographics
NPI:1730169848
Name:CAVE, CHRISTOPHER BRIAN (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:BRIAN
Last Name:CAVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8990 NAVARRE PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-2157
Mailing Address - Country:US
Mailing Address - Phone:850-396-0108
Mailing Address - Fax:850-939-4933
Practice Address - Street 1:8990 NAVARRE PARKWAY
Practice Address - Street 2:FAMILY MEDICINE DEPARTMENT
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566
Practice Address - Country:US
Practice Address - Phone:850-396-0108
Practice Address - Fax:850-939-4933
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 85300207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010766600Medicaid
FL17389OtherBCBSFL
FL080186469OtherRAIL ROAD MEDICARE
FL080186469OtherRAIL ROAD MEDICARE
FL010766600Medicaid
FL264830000Medicaid
FL264830000Medicaid