Healthcare Provider Details

I. General information

NPI: 1285560938
Provider Name (Legal Business Name): CRISTINA ROSADO GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5005 PORT ST JOHN PKWY STE 2400
COCOA FL
32927-4305
US

IV. Provider business mailing address

2019 STETSON CT
EAGLE LAKE FL
33839-5638
US

V. Phone/Fax

Practice location:
  • Phone: 787-560-5435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9414578
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: