Desantis, Christine

Desantis, Christine is an individual health care provider with primary practice located at 1879 Nightingale Lane Suite C-1, Tavares FL 32778. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Desantis, Christine can be contacted via phone (352) 742-1171.

Contact Information

Primary practice address
1879 Nightingale Lane Suite C-1 Tavares FL 32778
Phone: (352) 742-1171
Fax: (352) 742-7241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP3053732 Florida

Profile Details

NPI number 1003845793
LBN Legal business name Desantis, Christine
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Apr 30th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003845793 NPPES
Florida MEDICAID 303915300

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