| Kristina Black, MD | |
|
11260 Sullivan St, Riverview, FL 33578-2140 | |
| (813) 689-7571 | |
| Not Available |
| Full Name | Kristina Black |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 11260 Sullivan St, Riverview, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235758889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 95417 (Georgia) | Secondary |
| 208000000X | Pediatrics | MD.43174 (Alabama) | Secondary |
| 208000000X | Pediatrics | ME168721 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Black, MD 11260 Sullivan St, Riverview, FL 33578-2140 Ph: (813) 689-7571 | Kristina Black, MD 11260 Sullivan St, Riverview, FL 33578-2140 Ph: (813) 689-7571 |
Dr. Heather Sue Thole, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11948 Balm Riverview Rd, Riverview, FL 33569 Phone: 813-236-9000 Fax: 813-236-9002 | |
Dr. Peter Allen Kosoff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9406 Balm Riverview Road, Riverview, FL 33569 Phone: 813-236-9310 Fax: 813-236-9311 | |
Christina Estrada Lee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10729 Queens Town Dr, Riverview, FL 33579 Phone: 813-672-3497 Fax: 813-741-2418 | |
Gerard R Hough, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11122 Circle Press Ln, Riverview, FL 33578 Phone: 813-681-1410 | |
Dr. Tanya Michelle Liberato, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10729 Queens Town Dr, Riverview, FL 33579 Phone: 813-672-3497 Fax: 813-741-2418 | |
Joseph Leon Portnoy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4035 Crescent Park Dr, Riverview, FL 33578 Phone: 813-775-4030 | |
Cady Rodney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11260 Sullivan St, Riverview, FL 33578 Phone: 813-689-7571 Fax: 813-654-8129 |