Individual
CHRISTINE CHAN-RAGAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5979 VINELAND RD, ORLANDO, FL 32819-7800
(407) 492-2338
Mailing address
7234 STILL POND LN, WINDERMERE, FL 34786-0147
(407) 492-2338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
054488
GA
208000000X
Pediatrics Physician
Primary
ME 87532
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280511100
—
FL
01
—
336513
WELLCARE MEDICAID CMO
—
05
—
465501239A
—
GA
Enumeration date
03/23/2006
Last updated
01/27/2022
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