Individual
DR. CHRISTINE VAN DILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, BOX 100371, GAINESVILLE, FL 32610-3003
(352) 265-0301
Mailing address
202 E SOUTH ST, APT 3041, ORLANDO, FL 32801-3528
(816) 868-9898
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME103496
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN10268
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001006400
—
FL
Enumeration date
10/02/2008
Last updated
10/01/2010
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