Provider Demographics
NPI:1821228008
Name:CAITO, CHRISTINA M (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:M
Last Name:CAITO
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:805 CENTURY MEDICAL DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32796-2100
Mailing Address - Country:US
Mailing Address - Phone:321-268-6264
Mailing Address - Fax:321-633-8618
Practice Address - Street 1:5005 PORT ST JOHN PKWY # 2300
Practice Address - Street 2:PARRISH MEDICAL GROUP
Practice Address - City:PORT ST JOHN
Practice Address - State:FL
Practice Address - Zip Code:32927-4305
Practice Address - Country:US
Practice Address - Phone:321-633-8663
Practice Address - Fax:321-633-8618
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2021-04-20
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Provider Licenses
StateLicense IDTaxonomies
MI5101018341207V00000X
FLOS12157207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008962000Medicaid
FLHH483ZMedicare PIN