Provider Demographics
NPI:1942419783
Name:DE GUIA, CHRISTINA M (MD)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:M
Last Name:DE GUIA
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 1:1445 S OSPREY AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2920
Mailing Address - Country:US
Mailing Address - Phone:941-364-3629
Mailing Address - Fax:941-227-4724
Practice Address - Street 1:269 S OSPREY AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-6805
Practice Address - Country:US
Practice Address - Phone:941-364-3629
Practice Address - Fax:941-227-4724
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245726-12084P0804X
FLME1111142084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004397100Medicaid