Provider Demographics
NPI:1356697650
Name:DEL TORO, KRISTIN ELLEN (ARNP)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:ELLEN
Last Name:DEL TORO
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:2901 58TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33714-1326
Mailing Address - Country:US
Mailing Address - Phone:727-822-4300
Mailing Address - Fax:727-456-1399
Practice Address - Street 1:3003 W MLK BLVD
Practice Address - Street 2:3RD FLOOR MEDICAL ARTS BLDG.
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6307
Practice Address - Country:US
Practice Address - Phone:813-870-4948
Practice Address - Fax:813-554-8044
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9274171363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008444100Medicaid