Individual provider · Type 1 NPI

Kristina Alison Fan

Medical Physician Assistant · Orlando, FL

NPI number 1700701307 Active

Practice location

1222 S Orange Ave
Orlando, FL 32806-1215

Mailing address

1222 S Orange Ave Fl 3
Orlando, FL 32806-1215

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9122402 (FL)
Physician Assistant 363A00000XPA9122402 (FL)

Medical Physician Assistant: Definition to come...

253 other providers at this address

Other medical physician assistant providers in Orlando

See all in Orlando →

About NPI 1700701307

Kristina Alison Fan's National Provider Identifier is 1700701307, issued on Aug 12, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orlando, FL. The record was last updated on Nov 2, 2026.