| Doctor Name: | DR. CHRISTINE FAMILIA |
| NPI Number: | 1164495768 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 16255 |
| Business Practice Address: | 186 Sw Hidden Cove Way Port Saint Lucie, FL - 349862080 |
| Business Phone Number: | 7872438536 |
| Business Fax Number: | 7722375182 |
| Mailing Address: | 186 Sw Hidden Cove Way, PORT SAINT LUCIE |
| State: | FL |
| Postal Code: | 349862080 |
| Phone Number: | 7872438536 |
| Fax Number: | 7722375182 |
| NPI Enumeration Date: | 02/13/2006 |
| NPI Last Update Date: | 07/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16255 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |