Provider Demographics
NPI:1467487967
Name:LARAMEE, CHRISTINE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:LARAMEE
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:10051 5TH STREET NORTH #200
Mailing Address - Street 2:JSA HEALTHCARE CORP
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-2211
Mailing Address - Country:US
Mailing Address - Phone:727-828-8930
Mailing Address - Fax:727-568-6011
Practice Address - Street 1:1180 PONCE DE LEON BLVD STE 401
Practice Address - Street 2:JSA PONCE DE LEON BLVD PRIMARY CARE
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-1014
Practice Address - Country:US
Practice Address - Phone:727-581-3171
Practice Address - Fax:727-447-4827
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2013-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME69487207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL007658200Medicaid
10713691OtherCAQH
10713691OtherCAQH