Fawole, Christina

Fawole, Christina is an individual health care provider with primary practice located at 1340 N Hancock Rd , Clermont FL 34711-5952. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fawole, Christina can be contacted via phone (352) 394-1150.

Contact Information

Primary practice address
1340 N Hancock Rd Clermont FL 34711-5952
Fax: (352) 394-1560
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9482457 Florida

Profile Details

NPI number 1962944660
LBN Legal business name Fawole, Christina
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2016
Last updated Mar 20th, 2026 - about 7 months 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 1962944660 NPPES
Florida MEDICAID 112733100

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