Provider Demographics
NPI:1609830983
Name:SAZEPIN-SMITH, CHRISTINA A (ARNP)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:A
Last Name:SAZEPIN-SMITH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:A
Other - Last Name:SAZEPIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 863407
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32886-3407
Mailing Address - Country:US
Mailing Address - Phone:941-917-2600
Mailing Address - Fax:941-917-7884
Practice Address - Street 1:1700 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3509
Practice Address - Country:US
Practice Address - Phone:941-917-2342
Practice Address - Fax:941-917-4178
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN07304363LF0000X
TNRN108716363LF0000X
FLARNP9298031363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001479900Medicaid
FLY01C9OtherBCBS
FLCU126ZMedicare PIN