Individual
DR. CRISTINA ISABEL TARANTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 BRENT LN, PENSACOLA, FL 32503-2003
(850) 439-5394
(850) 696-2613
Mailing address
525 BRENT LN, PENSACOLA, FL 32503-2003
(850) 439-5394
(850) 696-2613
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME112087
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME112087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014407000
—
FL
Enumeration date
11/10/2006
Last updated
10/02/2023
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