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
Fax: (407) 647-5431
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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 1306807052 NPPES
Florida Other 48125 BCBS
Florida Other 277609 BCBS
Florida Other P00226763 BCBS

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