Provider Demographics
NPI:1558853937
Name:NEGRON, KIRSTIN H (DO)
Entity Type:Individual
Prefix:
First Name:KIRSTIN
Middle Name:H
Last Name:NEGRON
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:4700 MILLENIA BLVD STE 650
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-6013
Mailing Address - Country:US
Mailing Address - Phone:407-447-7120
Mailing Address - Fax:
Practice Address - Street 1:7525 TIDEWATER DR STE 19
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-3700
Practice Address - Country:US
Practice Address - Phone:757-330-0150
Practice Address - Fax:877-487-3044
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102206554207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine