Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME135721 | FL |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME136721 | FL |
NPI | 1205221207 |
---|---|
Provider Name | Cristina Dou |
First Address | Maitland, FL 32751-7003 |
Second Address | Maitland, FL 32751-7003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2015 |
Last Update Date | 18/10/2021 |