Dorta, Cristina Marie

Dorta, Cristina Marie is an individual health care provider with primary practice located at 2753 Citrus Tower Blvd , Clermont FL 34711-6699. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Dorta, Cristina Marie can be contacted via phone (352) 404-7570.

Contact Information

Primary practice address
2753 Citrus Tower Blvd Clermont FL 34711-6699
Phone: (352) 404-7570
Fax: (352) 404-7573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 9107935 Florida

Profile Details

NPI number 1750790150
LBN Legal business name Dorta, Cristina Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2014
Last updated Jan 10th, 2024 - about last year

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 1750790150 NPPES
Florida MEDICAID 013193000

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