Individual
CRISTINA ELENA MARCHIS-CRISAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3410 34TH ST SW, LEHIGH ACRES, FL 33976-4301
(323) 338-1495
Mailing address
3410 34TH ST SW, LEHIGH ACRES, FL 33976-4301
(323) 338-1495
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
E4968
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO4395
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
E4968
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
PO4395
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4968
CA DPM LICENSE
CA
01
—
GH080Z
SO CA MEDIARE PTAN
CA
01
—
PO4395
FL DPM LICENCE
FL
Enumeration date
12/21/2011
Last updated
09/02/2024
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