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Individual

MS. CRISTINA E. AZOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17615 FRANJO RD, VILLAGE OF PALMETTO BAY, FL 33157-5636
(786) 268-2609
(305) 252-2778
Mailing address
17615 FRANJO RD, VILLAGE OF PALMETTO BAY, FL 33157-5636
(786) 268-2609
(305) 252-2778

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
222Q00000X
Developmental Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
758258700
FL
05
811786100
FL
Enumeration date
09/01/2006
Last updated
02/22/2011
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