Chrisant, Maryanne Regina
Chrisant, Maryanne Regina is an individual health care provider with primary practice located at 1150 N 35Th Ave Ste 490 , Hollywood FL 33021-5423. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Chrisant, Maryanne Regina can be contacted via phone (954) 265-3437.Contact Information
Primary practice address
1150 N 35Th Ave Ste 490
Hollywood FL 33021-5423
Phone: (954) 265-3437
Fax: (954) 265-3731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | ME107102 | Florida |
Profile Details
| NPI number | 1568476455 |
|---|---|
| LBN Legal business name | Chrisant, Maryanne Regina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Apr 19th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568476455 | NPPES |
| Florida | MEDICAID | 002152100 |
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