Provider Demographics
NPI:1861419657
Name:GANDY, CHRISTINE FRANCES (CNM)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:FRANCES
Last Name:GANDY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Mailing Address - Street 1:13961 MYRTLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-5714
Mailing Address - Country:US
Mailing Address - Phone:407-380-8704
Mailing Address - Fax:407-380-8704
Practice Address - Street 1:5449 S SEMORAN BLVD
Practice Address - Street 2:SUITE 14D
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-1722
Practice Address - Country:US
Practice Address - Phone:407-207-7757
Practice Address - Fax:407-249-4781
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP0951432367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3034593-00Medicaid