Individual
DR. CHRISTINA GAYLE PROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7240 7TH PL N, WEST PALM BEACH, FL 33411-3801
(561) 969-6663
(561) 721-3106
Mailing address
7240 7TH PL N, WEST PALM BEACH, FL 33411-3801
(561) 969-6663
(561) 721-3106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
40145
SC
207Q00000X
Family Medicine Physician
BP10046757
TX
207Q00000X
Family Medicine Physician
Primary
ME137610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401452
—
SC
Enumeration date
05/31/2013
Last updated
02/24/2023
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