Provider Demographics
NPI:1639289986
Name:PRIETO, CHRISTINA M (AP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:PRIETO
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:527 S OSCEOLA AVE
Mailing Address - Street 2:#3
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-3943
Mailing Address - Country:US
Mailing Address - Phone:407-234-6454
Mailing Address - Fax:407-428-6165
Practice Address - Street 1:135 N KNOWLES AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-3851
Practice Address - Country:US
Practice Address - Phone:407-234-6454
Practice Address - Fax:407-428-6165
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2139171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist