Provider Demographics
NPI:1215376645
Name:MCCOY, CHRISTINA MARSALISI (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:MARSALISI
Last Name:MCCOY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 66TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-8747
Mailing Address - Country:US
Mailing Address - Phone:727-893-6323
Mailing Address - Fax:727-893-6234
Practice Address - Street 1:1800 66TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-8747
Practice Address - Country:US
Practice Address - Phone:727-893-6323
Practice Address - Fax:727-893-6234
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-19
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS13340207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine