Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | APRN2981292 | FL |
NPI | 1033538244 |
---|---|
Provider Name | Ms. Christina Maria Stump |
First Address | Avon Park, FL 33825-2958 |
Second Address | Avon Park, FL 33825-2958 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 03/04/2019 |