Provider Demographics
NPI:1558394148
Name:FITZMORRIS, KRISTI A (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:A
Last Name:FITZMORRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4390 66TH ST N
Mailing Address - Street 2:
Mailing Address - City:KENNETH CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33709-4920
Mailing Address - Country:US
Mailing Address - Phone:727-513-4100
Mailing Address - Fax:727-565-4979
Practice Address - Street 1:4390 66TH ST N
Practice Address - Street 2:
Practice Address - City:KENNETH CITY
Practice Address - State:FL
Practice Address - Zip Code:33709-4920
Practice Address - Country:US
Practice Address - Phone:727-513-4100
Practice Address - Fax:727-565-4979
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83876207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL51433OtherBCBS
FLP00256138OtherRAILROAD
FL51433OtherBCBS
FLP00256138OtherRAILROAD