Healthcare Provider Details

I. General information

NPI: 1407316797
Provider Name (Legal Business Name): CHRISTINE MARIE KRAJEWSKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WHETSTONE PL STE 105
SAINT AUGUSTINE FL
32086-5775
US

IV. Provider business mailing address

PO BOX 100237
GAINESVILLE FL
32610-0237
US

V. Phone/Fax

Practice location:
  • Phone: 904-824-3777
  • Fax: 904-819-8246
Mailing address:
  • Phone: 352-392-4541
  • Fax: 352-294-8519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME157914
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: