Jodicke, Cristiano

Jodicke, Cristiano is an sole proprietor health care provider with primary practice located at 207 W Gore St Ste 300 , Orlando FL 32806-1014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Jodicke, Cristiano can be contacted via phone (321) 841-8555.

Contact Information

Primary practice address
207 W Gore St Ste 300 Orlando FL 32806-1014
Phone: (321) 841-8555
Fax: (321) 841-2425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 4301092426 Michigan
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X ME121686 Florida

Profile Details

NPI number 1912199878
LBN Legal business name Jodicke, Cristiano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2007
Last updated Jun 27th, 2019 - about 5 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 1912199878 NPPES
Florida Other ME121686 MEDICAL LICENSE
Florida MEDICAID 013700300 MEDICAL LICENSE

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