Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carmen Lidya Cristobal, FNP

Individual provider Family Medicine Physician · NPI 1043102510

Carmen Lidya Cristobal, FNP is a Nurse Practitioner in Leesburg, Florida. Qualified in 2024, 2 years ago. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1605 Normandy Way
Leesburg, FL 34748-6733
Phone: (352) 678-8825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence F07250451 (FL)

Record details

NPI number1043102510
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 17, 2025
Last updated in NPPESJanuary 3, 2026
Certification dateJanuary 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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