Provider Demographics
NPI:1366948812
Name:CARBIA SCHNEIDER, CRISTINA AMPARO (DO)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:AMPARO
Last Name:CARBIA SCHNEIDER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:AMPARO
Other - Last Name:CARBIA SCHNEIDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:1046 MAR WALT DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547
Mailing Address - Country:US
Mailing Address - Phone:850-243-2229
Mailing Address - Fax:833-449-3901
Practice Address - Street 1:1046 MAR WALT DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547
Practice Address - Country:US
Practice Address - Phone:850-243-2229
Practice Address - Fax:833-449-3901
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS20063207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology