Provider Demographics
NPI:1144105800
Name:PUJADO, CHRISTIE LEIGH (MS, CNS, LDN)
Entity type:Individual
Prefix:
First Name:CHRISTIE LEIGH
Middle Name:
Last Name:PUJADO
Suffix:
Gender:X
Credentials:MS, CNS, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 VARELA ST REAR
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-3314
Mailing Address - Country:US
Mailing Address - Phone:305-879-2550
Mailing Address - Fax:
Practice Address - Street 1:1216 VARELA ST REAR
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-3314
Practice Address - Country:US
Practice Address - Phone:305-879-2550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND14490133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist