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NPI Code Detail

MEDICARE: CHRISTINA CORTEZ

MEDICARE: CHRISTINA CORTEZ
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
1183500000XPharmacist69258FL

General Provider Information

NPI Number : 1780549972
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA CORTEZ
Provider Business Mailing Address
First Line : 11278 SW KINGSLAKE CIR
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34987-2761
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10000 SW INNOVATION WAY
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34987-2111
Country : US
Telephone Number : 646-922-3079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2025
Last Update Date : 12/19/2025

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Directions to “ CHRISTINA CORTEZ ” Practice Location

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