MEDICARE: MRS. CHRISTINA HOBGOOD NAUGLE PA-C

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	363AS0400X	Surgical Physician Assistant	TL1371	SC
2	363AS0400X	Surgical Physician Assistant	PA9106456	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	II246Y	OTHER	FL	MEDICARE

General Provider Information

NPI Number	:	1609029305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINA HOBGOOD NAUGLE PA-C

Provider Business Mailing Address
First Line	:	11020 RCA CENTER DR STE 2010
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4277
Country	:	US
Telephone Number	:	561-881-8800
Fax Number	:	561-848-5878

Provider Business Practice Location Address
First Line	:	5540 PGA BLVD STE 200
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3987
Country	:	US
Telephone Number	:	561-571-4000
Fax Number	:	561-508-8890

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

Provider Enumeration Date	:	10/28/2008
Last Update Date	:	07/21/2022

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Directions to “ MRS. CHRISTINA HOBGOOD NAUGLE PA-C” Practice Location

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