Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | OS15390 | FL |
N | 207V00000X | Obstetrician & Gynecologist | OT015864 | PA |
N | 207VX0201X | Gynecologic Oncologist | OS15390 | FL |
NPI | 1063822609 |
---|---|
Provider Name | Christine Kelly Fitzsimmons |
First Address | Orlando, FL 32804-4659 |
Second Address | Orlando, FL 32804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2014 |
Last Update Date | 30/05/2018 |