CRISTINA MARIE DORTA


Address: 1990 N Prospect Ave, Lecanto, FL 34461-9792
Phone: 3525276888

CRISTINA MARIE DORTA (NPI# 1750790150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750790150
Entity Type Individual
Full Name CRISTINA MARIE DORTA
Credential PA-C
Practice Address 1990 N Prospect Ave
Lecanto
FL 34461-9792
Practice Telephone 3525276888
Practice Fax Number 3525278818
Mailing Telephone 3525276888
Mailing Fax Number 3525278818
Enumeration Date 2014-08-11
Last Update Date 2014-08-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA 9107935 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1990 N PROSPECT AVE
City LECANTO
State FL
Zip Code 34461-9792

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255397501 Angela White Kelley Physician Assistant 1990 N Prospect Ave, Lecanto, FL 34461-9792 2006-04-25
1487273256 Brittany Alce Physician Assistant 1990 N Prospect Ave, Lecanto, FL 34461-9792 2020-04-13
1174156855 Ann Marie O'shall Nurse Practitioner 1990 N Prospect Ave, Lecanto, FL 34461-9792 2020-02-20
1518516590 Hollie Taina Marie Saylor Physician Assistant 1990 N Prospect Ave, Lecanto, FL 34461-9792 2019-09-11
1689159709 Sarah Elizabeth Richter Internal Medicine 1990 N Prospect Ave, Lecanto, FL 34461-9792 2018-09-25
1871073122 Sicknwell LLC Clinic/Center 1990 N Prospect Ave, Lecanto, FL 34461-9792 2018-08-16
1023500535 My Home Sleep Testing LLC Family Medicine 1990 N Prospect Ave, Lecanto, FL 34461-9792 2018-05-31
1346744729 Allison Lavon Ledsome Nurse Practitioner 1990 N Prospect Ave, Lecanto, FL 34461-9792 2018-03-21
1174033435 Charles F. Brinegar Jr. Nurse Practitioner 1990 N Prospect Ave, Lecanto, FL 34461-9792 2017-10-01
1679098305 Alexis Bushman Physician Assistant 1990 N Prospect Ave, Lecanto, FL 34461-9792 2017-08-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891261160 Shekinah Barfield Physician Assistant Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 2018-10-15
1699240887 Medical Risk Solutions Family Medicine 2804 W. Marc Knighton Court Key #10, Lecanto, FL 34461 2018-10-04
1851848097 Pedim Outreach and Specialty Clinic LLC Family Medicine 1982 N Prospect Ave, Lecanto, FL 34461 2016-09-06
1265776579 Wal-mart Stores East Lp Technician/Technologist 1936 N. Lecanto Hwy, Lecanto, FL 34461 2012-11-27
1922306109 Pediatric and Internal Medicine Specialists, Pa Clinic/Center 1980 North Prospect Avenue, Lecanto, FL 34461 2011-03-11
1942459078 Crq Enterprises LLC Home Health 4214 W Gulf To Lake Hwy, Lecanto, FL 34461 2008-09-12
1548418064 Thomas Tybeck Counselor 324 S Kensington Ave Ste 328, Lecanto, FL 34461 2008-09-09
1356533566 Amanda Nicole Coppedge Optometrist 240 N. Lecanto Hwy., Lecanto, FL 34461 2007-08-11
1679779185 Brashears Vital Care Corp Pharmacy 471 N Dacie Pt, Lecanto, FL 34461 2007-06-22
1285751099 Interim Healthcare Private Services, Inc. Home Health 581 E. Gulf To Lake Highway, Village West Plaza, Lecanto, FL 34461 2007-03-25
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427579432 Mujiba Sanjareen Ansari Physician Assistant 3248 W Pebble Beach Ct, Lecanto, FL 34461-7774 2017-06-29
1255397501 Angela White Kelley Physician Assistant 1990 N Prospect Ave, Lecanto, FL 34461-9792 2006-04-25
1821534926 Gliset Norman Physician Assistant 1990 N Prospect Ave, Lecanto, FL 34461-9792 2017-01-12
1316119514 Tamra Renae Assumpcao Physician Assistant 1990 N Prospect Ave, Lecanto, FL 34461-9792 2008-03-27
1669521001 Maryellen E Greene Physician Assistant 1990 N Prospect Ave, Lecanto, FL 34461-9792 2007-01-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255931325 Jonathan Thomas Nusbaum Physician Assistant 26160 Angelica Rd, Punta Gorda, FL 33955-1419 2020-10-28
1235738659 Kevin Marcus Luks Physician Assistant 10701 Santa Fe Dr, Hollywood, FL 33026-4955 2020-10-19
1245839521 Stephanie Clay Physician Assistant 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 2020-10-19
1104423755 Lou Joseph Schneggenburger Physician Assistant 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 2020-10-07
1235744582 Stephanie Graham Physician Assistant 1053 Bernice Rd, Rockledge, FL 32955-2201 2020-09-14
1790399483 Shyla Imani Kissoon Physician Assistant 4830 Nw 7th St, Plantation, FL 33317-1410 2020-09-01
1770193500 My Physician Online Physician Assistant 9540 Nw 23rd St, Coral Springs, FL 33065-4974 2020-08-06
1225647977 Robert Drew Singleton Physician Assistant 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 2020-07-29
1750990974 Andrea K Webber Physician Assistant 8119 Sw State Rd 200, Ocala, FL 34481-3448 2020-07-23
1851919526 Kyra Panni Physician Assistant 3857 Hartwood Ln, Jacksonville, FL 32216-1486 2020-07-09
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Competitor

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City LECANTO
Zip Code 34461

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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