MEDICARE: DR. CHRISTINE MARIE ROUTHIER M.D.

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	208600000X	Surgery Physician	ME101366	FL

General Provider Information

NPI Number	:	1588692990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE MARIE ROUTHIER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 100286
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-0286
Country	:	US
Telephone Number	:	352-265-0535
Fax Number	:	352-627-4173

Provider Business Practice Location Address
First Line	:	300 HEALTH PARK BLVD STE 5002
Second Line	:
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32086-3705
Country	:	US
Telephone Number	:	904-819-5861
Fax Number	:	904-819-5862

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

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	04/09/2025

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