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NPI Code Detail

MEDICARE: MRS. CHRISTINE B GAGE ARNP

MEDICARE: MRS. CHRISTINE B GAGE ARNP
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
1363LF0000XFamily Nurse PractitionerARNP2793472FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316962285
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE B GAGE ARNP
Provider Business Mailing Address
First Line : 4117 E FOWLER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33617-2011
Country : US
Telephone Number : 813-745-6997
Fax Number : 813-745-6911
Provider Business Practice Location Address
First Line : 4117 E FOWLER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33617-2011
Country : US
Telephone Number : 813-745-6997
Fax Number : 813-745-7458
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 05/05/2008

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