Individual
MRS. CHRISTINA MARIE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3160 SOUTHGATE COMMERCE BLVD, SUITE 30, ORLANDO, FL 32806
(407) 859-4540
(407) 859-3815
Mailing address
3160 SOUTHGATE COMMERCE BLVD. SUITE 30, ORLANDO, FL 32806
(407) 859-4540
(407) 859-3815
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9107711
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012328400
—
FL
01
—
11162289
NCCPA BOARDS
FL
Enumeration date
03/24/2014
Last updated
07/03/2018
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