Organization · NPI-2

Indumathi MD And Associates PA

Family Medicine · Crestview, FL

NPI number1407735244
StatusActive
Last updated in NPPESSep 30, 2025

Details

NPI
1407735244
Entity type
Organization (NPI-2)
Legal business name
Indumathi MD And Associates PA
Organization subpart
No
Enumeration date
Aug 27, 2025
Certification date
Sep 30, 2025
Last updated
Sep 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

131 E Redstone Ave Ste 107
Crestview, FL 32539-5355

Phone 850-682-6320 · Fax 850-682-6339

Mailing address

131 E Redstone Ave Ste 107
Crestview, FL 32539-5355

Phone 850-682-6320 · Fax 850-682-6339

Authorized official

Indumathi Christopher
MD, Vp
8506826320

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