MEDICARE: CHRISTINA LEE NEELEY

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	376J00000X	Homemaker		FL

General Provider Information

NPI Number	:	1487526497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA LEE NEELEY

Provider Business Mailing Address
First Line	:	5939 IONA AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-2029
Country	:	US
Telephone Number	:	407-591-1264
Fax Number	:	999-999-9999

Provider Business Practice Location Address
First Line	:	5939 IONA AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-2029
Country	:	US
Telephone Number	:	407-591-1264
Fax Number	:	999-999-9999

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

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	09/19/2025

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Directions to “ CHRISTINA LEE NEELEY ” Practice Location

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