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Individual

MRS. CHRISTELLE FAITH RENTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
141 TERRA MANGO LOOP STE B, ORLANDO, FL 32835-8510
(407) 587-6406
Mailing address
15535 CITRUS HARVEST RD, WINTER GARDEN, FL 34787-9253
(407) 478-9797

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9258244
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
YOJ7C
BLUE SHIELD
FL
Enumeration date
01/31/2013
Last updated
12/16/2020
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