Fargo, Christine Marie

Fargo, Christine Marie is an individual health care provider with primary practice located at 2300 State Road 524 Suite 104, Cocoa FL 32926-5894. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fargo, Christine Marie can be contacted via phone (321) 868-8320.

Contact Information

Primary practice address
2300 State Road 524 Suite 104 Cocoa FL 32926-5894
Phone: (321) 868-8320
Fax: (321) 632-3445
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP3328432 Florida

Profile Details

NPI number 1770584542
LBN Legal business name Fargo, Christine Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated May 29th, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770584542 NPPES
Florida MEDICAID 306115900

Popular Providers