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NPI Code Detail

MEDICARE: MS. CHRISTINA MEDRANO PA-C

MEDICARE:  MS. CHRISTINA  MEDRANO  PA-C
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
1363AM0700XMedical Physician AssistantPA9104603FL
2363A00000XPhysician AssistantPA9104603FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770562704
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINA MEDRANO PA-C
Provider Business Mailing Address
First Line : 1221 W LAKEVIEW AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-1836
Country : US
Telephone Number : 850-469-3500
Fax Number : 850-595-1400
Provider Business Practice Location Address
First Line : 1221 W LAKEVIEW AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-1836
Country : US
Telephone Number : 850-469-3500
Fax Number : 850-595-1400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 10/14/2025

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Directions to “ MS. CHRISTINA MEDRANO PA-C” Practice Location

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