Dudley, Christina Renee

Dudley, Christina Renee is an individual health care provider with primary practice located at 2080 Oakley Seaver Dr , Clermont FL 34711-1962. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Dudley, Christina Renee can be contacted via phone (321) 841-6444.

Contact Information

Primary practice address
2080 Oakley Seaver Dr Clermont FL 34711-1962
Phone: (321) 841-6444
Fax: (407) 650-1307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9105184 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9105184 Florida

Profile Details

NPI number 1457680209
LBN Legal business name Dudley, Christina Renee
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2009
Last updated Dec 21st, 2021 - about 4 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 1457680209 NPPES
Florida MEDICAID 004453300

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