Organization · NPI-2

Crestview Surgery Center LP

Surgery · Crestview, FL

NPI number1619906468
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1619906468
Entity type
Organization (NPI-2)
Legal business name
Crestview Surgery Center LP
Organization subpart
No
Enumeration date
Jul 2, 2006
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery–FLYes

Other names

  • Crestview Surgery Center (Doing Business As)

Practice location

400 Redstone Ave W
Crestview, FL 32536-8467

Phone 850-683-1555 · Fax 850-683-1556

Mailing address

400 Redstone Ave W
Crestview, FL 32536-8467

Phone 850-683-1555 · Fax 850-683-1556

Authorized official

David L Miller
President
6154657016

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