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Individual

KRISTINA MICHELLE PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7205 BONNEVAL RD, JACKSONVILLE, FL 32256-3843
(904) 296-0098
(904) 861-3899
Mailing address
7205 BONNEVAL RD, JACKSONVILLE, FL 32256-3843
(904) 296-0098
(904) 861-3899

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2007-00305
NC
207W00000X
Ophthalmology Physician
57553
GA
207W00000X
Ophthalmology Physician
Primary
ME104161
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001517800
FL
01
146K2
BCBS
FL
Enumeration date
03/11/2007
Last updated
02/10/2010
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