Healthcare Provider Details

I. General information

NPI: 1316869936
Provider Name (Legal Business Name): CHRISTINE ELIZABETH MCGHEE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 PALMETTO ST
NEW SMYRNA BEACH FL
32168-7327
US

IV. Provider business mailing address

2603 LIME TREE DR
EDGEWATER FL
32141-5417
US

V. Phone/Fax

Practice location:
  • Phone: 386-428-8326
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11049322
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: