Provider Demographics
NPI:1366494338
Name:HORVATH, CHRISTINA HILDEGARDE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:HILDEGARDE
Last Name:HORVATH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 NE CATNIP WAY
Mailing Address - Street 2:
Mailing Address - City:LEE
Mailing Address - State:FL
Mailing Address - Zip Code:32059-7103
Mailing Address - Country:US
Mailing Address - Phone:850-971-4172
Mailing Address - Fax:
Practice Address - Street 1:475 NE CATNIP WAY
Practice Address - Street 2:
Practice Address - City:LEE
Practice Address - State:FL
Practice Address - Zip Code:32059-7103
Practice Address - Country:US
Practice Address - Phone:850-971-4172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9102916363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL291959100Medicaid