Individual
MRS. CHRISTINE B GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4117 E FOWLER AVE, TAMPA, FL 33617-2011
(813) 745-6997
(813) 745-7458
Mailing address
4117 E FOWLER AVE, TAMPA, FL 33617-2011
(813) 745-6997
(813) 745-6911
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP2793472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305562100
—
FL
Enumeration date
07/13/2006
Last updated
05/05/2008
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