Provider Demographics
NPI:1235400052
Name:GEIGER, KRISTI (PAC)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:GEIGER
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:N
Other - Last Name:LERNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PAC
Mailing Address - Street 1:7977 9TH AVE S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33707-2732
Mailing Address - Country:US
Mailing Address - Phone:850-766-1168
Mailing Address - Fax:
Practice Address - Street 1:201 14TH ST SW
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3199
Practice Address - Country:US
Practice Address - Phone:239-368-4410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-25
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9106392363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant