Healthcare Provider Details

I. General information

NPI: 1508243601
Provider Name (Legal Business Name): GEORGIA CHRISTAKIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GEORGIA CHRISTAKIS ELDRIDGE MD

II. Dates (important events)

Enumeration Date: 04/28/2015
Last Update Date: 09/13/2025
Certification Date: 09/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 CAMINO GARDENS BLVD
BOCA RATON FL
33432-5824
US

IV. Provider business mailing address

1011 NW 4TH ST
BOCA RATON FL
33486-3427
US

V. Phone/Fax

Practice location:
  • Phone: 613-924-4535
  • Fax:
Mailing address:
  • Phone: 561-302-5393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberME0157572
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number278179
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME157572
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: