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1437162849 NPI number — KRISTEN J CIRILLO PA-C

NPI Number: 1437162849
Health Care Provider/Practitioner: KRISTEN J CIRILLO PA-C

Information about “1437162849” NPI (KRISTEN J CIRILLO PA-C) exists in 1437162849 in HTML format HTML  |  1437162849 in plain Text format TXT  |  1437162849 in PDF (Portable Document Format) PDF  |  1437162849 in an XML format XML  formats.

NPI Number : 1437162849 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437162849",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CIRILLO",
    "FirstName": "KRISTEN",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "13805 FOLKSTONE CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WELLINGTON",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33414-7704",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-791-3752",
    "MailingAddressFaxNumber": "561-204-3621",
    "FirstLinePracticeLocationAddress": "13005 SOUTHERN BLVD STE 142",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOXAHATCHEE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33470-9231",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-204-3620",
    "PracticeLocationAddressFaxNumber": "561-204-3621",
    "EnumerationDate": "08/15/2006",
    "LastUpdateDate": "07/22/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "PA0002623",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "PA0002623",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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