Provider Demographics
NPI:1417246620
Name:ORLOWICZ, CHRISTINE ALEXIS
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ALEXIS
Last Name:ORLOWICZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9722 COMMERCE CENTER CT
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-3607
Mailing Address - Country:US
Mailing Address - Phone:239-415-1111
Mailing Address - Fax:239-415-1199
Practice Address - Street 1:9722 COMMERCE CENTER CT
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-3607
Practice Address - Country:US
Practice Address - Phone:239-415-1111
Practice Address - Fax:239-415-1199
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME119635207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013045600Medicaid