Provider Demographics
NPI:1750895140
Name:BADEN, CHRISTINA MICHELLE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MICHELLE
Last Name:BADEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:151 SOUTHHALL LN STE 300
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7172
Mailing Address - Country:US
Mailing Address - Phone:407-875-2080
Mailing Address - Fax:407-650-3455
Practice Address - Street 1:8250 BRYAN DAIRY RD STE 250
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777-1360
Practice Address - Country:US
Practice Address - Phone:727-393-5300
Practice Address - Fax:727-393-5301
Is Sole Proprietor?:No
Enumeration Date:2017-11-22
Last Update Date:2019-07-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL9110603207N00000X
FLPA9110603363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No207N00000XAllopathic & Osteopathic PhysiciansDermatology