Individual
CHRISTINA RUTH COVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3345 WATERMAN WAY, TAVARES, FL 32778-5220
(352) 742-2192
(352) 742-2689
Mailing address
3345 WATERMAN WAY, TAVARES, FL 32778-5220
(352) 742-2192
(352) 742-2689
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME109150
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003843600
—
FL
01
—
1922129618
ALABAMA LIVER & DIGESTIVE SPECIALISTS ORGANIZATIONAL GROUP NPI
AL
01
—
203204949
TAX EID #
AL
01
—
25647
ALABAMA MEDICAL LISCENSE
AL
05
—
529932823
—
AL
01
—
DF6813
RAIL ROAD MEDICARE GROUP #
AL
Enumeration date
11/01/2006
Last updated
10/05/2020
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