Individual
CHRISTINE AGGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
456 ROYAL POINCIANA BLVD UNIT 3, TAVERNIER, FL 33070-2244
(313) 405-0676
Mailing address
456 ROYAL POINCIANA BLVD UNIT 3, TAVERNIER, FL 33070-2244
(313) 405-0676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704277353
MI
363LF0000X
Family Nurse Practitioner
Primary
9286482
FL
Other
Enumeration date
04/29/2017
Last updated
11/18/2022
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