Provider Demographics
NPI:1841488111
Name:FORSZPANIAK, CHRISTINE (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:FORSZPANIAK
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 1:848 1ST AVE N
Mailing Address - Street 2:SUITE 230
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6013
Mailing Address - Country:US
Mailing Address - Phone:239-434-7779
Mailing Address - Fax:239-434-7588
Practice Address - Street 1:848 1ST AVE N
Practice Address - Street 2:SUITE 230
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6013
Practice Address - Country:US
Practice Address - Phone:239-434-7779
Practice Address - Fax:239-434-7588
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49793207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP1107159OtherOXFORD
FL110050893OtherMEDICARE RAILROAD
FL064785300Medicaid
FL110050893OtherMEDICARE RAILROAD
FLD61285Medicare UPIN