Minerva, Kristen
Minerva, Kristen is an individual health care provider with primary practice located at 1950 Lee Rd Suite 105, Winter Park FL 32789-1859. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Minerva, Kristen can be contacted via phone (407) 647-2346.Contact Information
Primary practice address
1950 Lee Rd Suite 105
Winter Park FL 32789-1859
Phone: (407) 647-2346
Fax: (407) 647-5431
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME88782 | Florida |
Profile Details
NPI number | 1306807052 |
---|---|
LBN Legal business name | Minerva, Kristen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 31st, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306807052 | NPPES |
Florida | Other | 48125 | BCBS |
Florida | Other | 277609 | BCBS |
Florida | Other | P00226763 | BCBS |
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