Provider Demographics
NPI:1710483011
Name:ZINO, CHRISTA M (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:M
Last Name:ZINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10268 KRISTEN PARK DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-5855
Mailing Address - Country:US
Mailing Address - Phone:407-716-8646
Mailing Address - Fax:
Practice Address - Street 1:10268 KRISTEN PARK DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-5855
Practice Address - Country:US
Practice Address - Phone:407-716-8646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program