Provider Demographics
NPI:1568787562
Name:DON, CHRISTINA KERDEL (PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:KERDEL
Last Name:DON
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2600 LAKE LUCIEN DR
Mailing Address - Street 2:SUITE 180
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7233
Mailing Address - Country:US
Mailing Address - Phone:407-875-2080
Mailing Address - Fax:407-875-0518
Practice Address - Street 1:11510 QUAIL ROOST DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-6548
Practice Address - Country:US
Practice Address - Phone:305-256-3056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2021-11-02
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Provider Licenses
StateLicense IDTaxonomies
FLPA9105395363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant