Healthcare Provider Details

I. General information

NPI: 1225833247
Provider Name (Legal Business Name): CHRISTINA CHEESEMAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2025
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 FOWLER GROVE BLVD STE 220
WINTER GARDEN FL
34787-5597
US

IV. Provider business mailing address

601 E ROLLINS ST
ORLANDO FL
32803-1248
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-5990
  • Fax: 407-303-7323
Mailing address:
  • Phone: 407-303-5990
  • Fax: 407-303-7323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberUO11841
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: