Healthcare Provider Details

I. General information

NPI: 1699926105
Provider Name (Legal Business Name): KRISTINA MARIA JAVIER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2008
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 OAKHURST CIR
KISSIMMEE FL
34744-4752
US

IV. Provider business mailing address

12617 NARCOOSSEE RD STE 111
ORLANDO FL
32832-7148
US

V. Phone/Fax

Practice location:
  • Phone: 754-702-7256
  • Fax: 844-204-0781
Mailing address:
  • Phone: 407-777-9378
  • Fax: 440-268-4426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME106276
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: