Provider Demographics
NPI:1902006950
Name:JABLONSKI, CHRISTINE TAWA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:TAWA
Last Name:JABLONSKI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1222 S ORANGE AVE FL 5
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1215
Mailing Address - Country:US
Mailing Address - Phone:321-843-4800
Mailing Address - Fax:407-423-1380
Practice Address - Street 1:1222 S ORANGE AVE FL 5
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1215
Practice Address - Country:US
Practice Address - Phone:321-843-4800
Practice Address - Fax:407-423-1380
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2020-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME71963207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103752900Medicaid