Larrazaleta Fajardo, Cristina Maria
Larrazaleta Fajardo, Cristina Maria is an individual health care provider with primary practice located at 12600 Creekside Ln Suite 7, Fort Myers FL 33919-3353. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Larrazaleta Fajardo, Cristina Maria can be contacted via phone (239) 343-9220.Contact Information
Primary practice address
12600 Creekside Ln Suite 7
Fort Myers FL 33919-3353
Phone: (239) 343-9220
Fax: (239) 343-9231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 263509 | Massachusetts |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ME126357 | Florida |
Profile Details
| NPI number | 1598044745 |
|---|---|
| LBN Legal business name | Larrazaleta Fajardo, Cristina Maria |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2011 |
| Last updated | Mar 29th, 2021 - about 5 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 | 1598044745 | NPPES |
| Florida | MEDICAID | 001679700 |
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