Proud, Christina
Proud, Christina is an sole proprietor health care provider with primary practice located at 8404 Us Highway 441 , Leesburg FL 34788-4016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Proud, Christina can be contacted via phone (352) 351-8881.Contact Information
Primary practice address
8404 Us Highway 441
Leesburg FL 34788-4016
Phone: (352) 351-8881
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0078846 | Florida |
Profile Details
| NPI number | 1629028832 |
|---|---|
| LBN Legal business name | Proud, Christina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1629028832 | NPPES |
| Florida | Other | 17236 | BLUE SHIELD PROV NUMBER |
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