Provider Demographics
NPI:1336305614
Name:CHRISTENSEN MATERNAL & FETAL MEDICINE
Entity Type:Organization
Organization Name:CHRISTENSEN MATERNAL & FETAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANKLYN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-660-6800
Mailing Address - Street 1:2100 ALOMA AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3301
Mailing Address - Country:US
Mailing Address - Phone:407-660-6800
Mailing Address - Fax:407-660-2600
Practice Address - Street 1:2100 ALOMA AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3301
Practice Address - Country:US
Practice Address - Phone:407-660-6800
Practice Address - Fax:407-660-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH23293Medicare UPIN