MEDICARE: CHRISTINA HUNTER D.O.

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	207Q00000X	Family Medicine Physician	OS171291	FL

General Provider Information

NPI Number	:	1508354713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA HUNTER D.O.

Provider Business Mailing Address
First Line	:	1801 SE HILLMOOR DR STE B-109
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-7550
Country	:	US
Telephone Number	:	772-337-9473
Fax Number	:	772-337-0796

Provider Business Practice Location Address
First Line	:	1801 SE HILLMOOR DR STE B-109
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-7550
Country	:	US
Telephone Number	:	772-337-9473
Fax Number	:	772-337-0796

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

Provider Enumeration Date	:	04/24/2018
Last Update Date	:	07/03/2025

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