Larrazaleta Fajardo, Cristina Maria

Larrazaleta Fajardo, Cristina Maria is an individual health care provider with primary practice located at 12600 Creekside Ln Suite 7, Fort Myers FL 33919-3353. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Larrazaleta Fajardo, Cristina Maria can be contacted via phone (239) 343-9220.

Contact Information

Primary practice address
12600 Creekside Ln Suite 7 Fort Myers FL 33919-3353
Phone: (239) 343-9220
Fax: (239) 343-9231
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 263509 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME126357 Florida

Profile Details

NPI number 1598044745
LBN Legal business name Larrazaleta Fajardo, Cristina Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2011
Last updated Mar 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598044745 NPPES
Florida MEDICAID 001679700

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