Provider Demographics
NPI:1376373282
Name:ORLANDO, CHRISTINE MARIETTA
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:MARIETTA
Last Name:ORLANDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4342 NW 95TH WAY
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7601
Mailing Address - Country:US
Mailing Address - Phone:754-264-4973
Mailing Address - Fax:
Practice Address - Street 1:4342 NW 95TH WAY
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7601
Practice Address - Country:US
Practice Address - Phone:754-264-4973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL098765499Medicaid