Individual
CHRISTINE MICHELLE TENNISWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4225 WOODBINE ROAD, SUITE A, PACE, FL 32571
(850) 994-6575
(850) 994-5643
Mailing address
4225 WOODBINE RD, SUITE A, PACE, FL 32571-8790
(850) 994-6575
(850) 994-5643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0427283
KS
207Q00000X
Family Medicine Physician
Primary
ME111479
FL
Other
Enumeration date
05/16/2006
Last updated
08/31/2020
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