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NPI Code Detail

MEDICARE: CHRISTINA ARTIS

MEDICARE: CHRISTINA ARTIS
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
1101YA0400XAddiction (Substance Use Disorder) CounselorFL
2104100000XSocial Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891283800
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA ARTIS
Provider Business Mailing Address
First Line : 1450 S WOODLAND BLVD STE 200A
Second Line :
City : DELAND
State : FL
Zip : 32720-7547
Country : US
Telephone Number : 386-873-3658
Fax Number : 386-490-1037
Provider Business Practice Location Address
First Line : 1450 S WOODLAND BLVD STE 200A
Second Line :
City : DELAND
State : FL
Zip : 32720-7547
Country : US
Telephone Number : 386-873-3658
Fax Number : 386-490-1037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2018
Last Update Date : 06/21/2022

Similar Medicare Providers

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1450 S WOODLAND BLVD STE 200A
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1154879237 — PHYSICIANS MEDICAL AND INJURY GROUP, LLC
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1528735883 — ANNABELLA ROSE PANARO
Practice Location Address:
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DELAND, FL
32720-7547
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1164176236 — MISTY M REYES
Practice Location Address:
1450 S WOODLAND BLVD STE 200A
DELAND, FL
32720-7547
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Practice Fax:
1508595828 — TONIEKA SAWYER
Practice Location Address:
1450 S WOODLAND BLVD STE 200A
DELAND, FL
32720-7547
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Practice Fax:

Directions to “ CHRISTINA ARTIS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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