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NPI Code Detail

MEDICARE: KRISTINE LAVON FIELDS

MEDICARE: KRISTINE LAVON FIELDS
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 Practitioner11037582FL

General Provider Information

NPI Number : 1407653728
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE LAVON FIELDS
Provider Business Mailing Address
First Line : 2766 GRASSMOOR LOOP
Second Line :
City : APOPKA
State : FL
Zip : 32712-5008
Country : US
Telephone Number : 407-883-4229
Fax Number :
Provider Business Practice Location Address
First Line : 712 W 25TH ST
Second Line :
City : SANFORD
State : FL
Zip : 32771-4232
Country : US
Telephone Number : 407-402-2303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2025
Last Update Date : 02/23/2026

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Directions to “ KRISTINE LAVON FIELDS ” Practice Location

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