Dorta, Cristina Marie
Dorta, Cristina Marie is an individual health care provider with primary practice located at 2753 Citrus Tower Blvd , Clermont FL 34711-6699. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Dorta, Cristina Marie can be contacted via phone (352) 404-7570.Contact Information
Primary practice address
2753 Citrus Tower Blvd
Clermont FL 34711-6699
Phone: (352) 404-7570
Fax: (352) 404-7573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA 9107935 | Florida |
Profile Details
| NPI number | 1750790150 |
|---|---|
| LBN Legal business name | Dorta, Cristina Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2014 |
| Last updated | Jan 10th, 2024 - 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 | 1750790150 | NPPES |
| Florida | MEDICAID | 013193000 |
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