Individual
CRISTINA AGOSTINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15105 NW 77TH AVE, MIAMI LAKES, FL 33014-7803
(305) 558-9855
Mailing address
15529 BULL RUN RD, MIAMI LAKES, FL 33014-7004
(305) 558-9855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME108601
FL
207R00000X
Internal Medicine Physician
Primary
ME108601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003669000
—
FL
01
—
ER861Y
MEDICARE
FL
Enumeration date
05/05/2008
Last updated
05/08/2024
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