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NPI Code Detail

MEDICARE: MRS. CHRISTINA MICHELE KASSABIAN PA

MEDICARE: MRS. CHRISTINA MICHELE KASSABIAN PA
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
1363A00000XPhysician AssistantPA 2704FL
2363AM0700XMedical Physician AssistantPA2704FL

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 : 1932127255
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA MICHELE KASSABIAN PA
Provider Business Mailing Address
First Line : 2000 N ALAFAYA TRL
Second Line :
City : ORLANDO
State : FL
Zip : 32826-4739
Country : US
Telephone Number : 407-894-0005
Fax Number : 407-894-7759
Provider Business Practice Location Address
First Line : 2000 N ALAFAYA TRL
Second Line :
City : ORLANDO
State : FL
Zip : 32826-4739
Country : US
Telephone Number : 407-635-5740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 06/27/2023

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