Healthcare Provider Details

I. General information

NPI: 1437094463
Provider Name (Legal Business Name): CHRISTINA L MCEWAN LMT, AP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2610 NW 43RD ST STE 1A
GAINESVILLE FL
32606-6677
US

IV. Provider business mailing address

2610 NW 43RD ST STE 1A
GAINESVILLE FL
32606-6677
US

V. Phone/Fax

Practice location:
  • Phone: 352-448-5836
  • Fax: 352-448-7789
Mailing address:
  • Phone: 352-448-5836
  • Fax: 352-448-7789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP4704
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA78955
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: