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Individual

CHRISTINA CAVANAGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2780 CLEVELAND AVE, SUITE 709, FORT MYERS, FL 33901
(239) 343-3831
(239) 343-2301
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3831
(239) 343-2301

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LL29760
SC
207Q00000X
Family Medicine Physician
Primary
ME0113753
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006481300
FL
01
ME0113753
MEDICAL LICENSE
FL
Enumeration date
06/19/2007
Last updated
03/24/2021
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