Individual
DR. MARIA CRISTINA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
103 PARK PLACE BLVD, DAVENPORT, FL 33837-6858
(863) 421-1855
(863) 421-2624
Mailing address
103 PARK PLACE BLVD, DAVENPORT, FL 33837-6858
(863) 421-1855
(863) 421-2624
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0076328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265775000
—
FL
01
—
44550
BCBS
FL
Enumeration date
07/24/2006
Last updated
02/24/2017
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