Organization · NPI-2

Crestview Hospital Company LLC

Internal Medicine · Crestview, FL

NPI number1235068875

StatusActive

Last updated in NPPESMay 19, 2026

Details

NPI: 1235068875
Entity type: Organization (NPI-2)
Legal business name: Crestview Hospital Company LLC
Organization subpart: No
Enumeration date: May 19, 2026
Certification date: May 18, 2026
Last updated: May 19, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
363LF0000X	Nurse Practitioner, Family	–	–

Practice location

127 E Redstone Ave Ste C
Crestview, FL 32539-5356

Phone 850-423-0061 · Fax 850-423-9954

Mailing address

Po Box 689022
Franklin, TN 37068-9022

Phone 615-465-7000 · Fax 615-628-6877

Authorized official

Kristina Music
Director Provider Enrollment
8778929815

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