MEDICARE: CHRISTIECARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP9348740	FL

General Provider Information

NPI Number	:	1316476534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTIECARE, LLC

Provider Business Mailing Address
First Line	:	2903 SW BUTTERFLY LN
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-8217
Country	:	US
Telephone Number	:	609-513-3818
Fax Number	:	772-324-8083

Provider Business Practice Location Address
First Line	:	2903 SW BUTTERFLY LN
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-8217
Country	:	US
Telephone Number	:	609-513-3818
Fax Number	:	772-324-8083

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. CHRISTIE RENEE PINOLINI
Credential	:	ARNP
Telephone Number	:	609-513-3818

Provider Enumeration Date	:	06/09/2017
Last Update Date	:	07/21/2022

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