Provider Demographics
NPI:1265851695
Name:GARCIA, CRISTINA VANESSA (MD)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:VANESSA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10460 ROOSEVELT BLVD N # 169
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-3821
Mailing Address - Country:US
Mailing Address - Phone:727-420-6374
Mailing Address - Fax:813-355-0810
Practice Address - Street 1:1258 W BAY DR STE D
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-2277
Practice Address - Country:US
Practice Address - Phone:727-420-6374
Practice Address - Fax:813-355-0810
Is Sole Proprietor?:No
Enumeration Date:2014-04-14
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME131390207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine