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Individual

DR. CHRISTINA MOORE KILLGOAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4243
(727) 767-8612
Mailing address
501 6TH AVE S, BOX 6941, ST PETERSBURG, FL 33701-4634
(727) 767-4429
(727) 767-4970

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME102202
FL
208M00000X
Hospitalist Physician
ME102202
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000249800
FL
01
0592866
CIGNA
FL
01
324589
AVMED
FL
01
492955
STAYWELL/HEALTHEASE
FL
01
7858470
AETNA
FL
05
890134NO
NC
05
N01395
SC
Enumeration date
06/27/2006
Last updated
03/03/2010
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