Provider Demographics
NPI:1215567524
Name:FELIX, KRISTINA (MSN, WHNP-BC, APRN)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:FELIX
Suffix:
Gender:F
Credentials:MSN, WHNP-BC, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2565 ENTERPRISE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-8016
Mailing Address - Country:US
Mailing Address - Phone:386-201-9105
Mailing Address - Fax:386-201-9106
Practice Address - Street 1:2565 ENTERPRISE RD STE 300
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-8016
Practice Address - Country:US
Practice Address - Phone:386-201-9105
Practice Address - Fax:386-201-9106
Is Sole Proprietor?:No
Enumeration Date:2020-01-26
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11005546363LW0102X
FLAPRN1105546363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106040900Medicaid