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Individual

GENE LAVERE KRISHINGNER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0406
(407) 975-0407
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0406
(407) 975-0407

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME96570
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
279988000
FL
01
56469
BCBS
FL
Enumeration date
09/21/2006
Last updated
11/19/2021
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