MEDICARE: CHRISTELLA SAINT-VILUS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1104782093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTELLA SAINT-VILUS

Provider Business Mailing Address
First Line	:	1717 COUNTY ROAD 220 APT 1307
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-7977
Country	:	US
Telephone Number	:	904-420-9426
Fax Number	:

Provider Business Practice Location Address
First Line	:	1717 COUNTY ROAD 220 APT 1307
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-7977
Country	:	US
Telephone Number	:	904-420-9426
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “ CHRISTELLA SAINT-VILUS ” Practice Location

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