MEDICARE: CHRISTOPHER REALIN

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	163WM1400X	Nurse Massage Therapist (NMT)	RN9614866	FL

General Provider Information

NPI Number	:	1578493805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER REALIN

Provider Business Mailing Address
First Line	:	994 CROSS CUT WAY
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32750-3081
Country	:	US
Telephone Number	:	407-701-0705
Fax Number	:

Provider Business Practice Location Address
First Line	:	994 CROSS CUT WAY
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32750-3081
Country	:	US
Telephone Number	:	407-701-0705
Fax Number	:

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

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “ CHRISTOPHER REALIN ” Practice Location

Language	Start Address	Practice Location

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