Healthcare Provider Details

I. General information

NPI: 1407780117
Provider Name (Legal Business Name): CHRISTINA LUNDY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5545 MULAT RD
MILTON FL
32583-5564
US

IV. Provider business mailing address

5545 MULAT RD
MILTON FL
32583-5564
US

V. Phone/Fax

Practice location:
  • Phone: 850-293-4693
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9365322
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: