Provider Demographics
NPI:1558516047
Name:STEINHORST-BAUDEK, CHRISTINA MARIE (BS)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIE
Last Name:STEINHORST-BAUDEK
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 SOUTH FLORIDA AVENUE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955
Mailing Address - Country:US
Mailing Address - Phone:321-409-2136
Mailing Address - Fax:321-409-2140
Practice Address - Street 1:1022 SOUTH FLORIDA AVENUE
Practice Address - Street 2:SUITE 6
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955
Practice Address - Country:US
Practice Address - Phone:321-409-2136
Practice Address - Fax:321-409-2140
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL756028100Medicaid