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Individual

MRS. CHRISTINA PETA-GAIL POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8300 RED BUG LAKE RD, OVIEDO, FL 32765-6801
(407) 890-2050
Mailing address
728 CORNWALL RD, WINTER PARK, FL 32792-4815
(321) 439-4612

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN9366408
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11028460
FL

Other

Enumeration date
03/17/2022
Last updated
09/16/2023
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