MEDICARE: CHRISTINA BLANCA BACHER PA-C

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	363A00000X	Physician Assistant	PA9115410	FL

General Provider Information

NPI Number	:	1407399215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA BLANCA BACHER PA-C

Provider Business Mailing Address
First Line	:	1222 SE 12TH WAY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2102
Country	:	US
Telephone Number	:	407-506-5436
Fax Number	:

Provider Business Practice Location Address
First Line	:	16853 NE 2ND AVE STE 200
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-1776
Country	:	US
Telephone Number	:	786-786-9598
Fax Number	:

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

Provider Enumeration Date	:	11/28/2016
Last Update Date	:	10/28/2025

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