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Ms. Crystal Purple, PA-C
Medical Physician Assistant in Daytona Beach, Florida
NPI 1578293700

Crystal Purple is a Medical Physician Assistant based in Daytona Beach, FL and is specialized in Medical. Crystal Purple practices in Daytona Beach, FL and has the professional credentials of PA-C. The NPI Number for Crystal Purple is 1578293700 and holds a License No. (Florida).

The current practice location address for Crystal Purple is 303 N Clyde Morris Blvd, Daytona Beach, FL and can be reached out via phone at 386-425-4000.

Location: 303 N Clyde Morris Blvd, Daytona Beach, FL, 32114-2709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578293700
Provider Name
Crystal Purple
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
303 N Clyde Morris Blvd, Daytona Beach, FL, 32114-2709
Phone Number
386-425-4000
Fax Number
Provider Enumeration Date
06/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
303 N Clyde Morris Blvd
City
Daytona Beach
State
Florida
Zip
32114-2709
Phone Number
386-425-4000
Fax Number
person
Provider Business Mailing Address Details
Address
303 N Clyde Morris Blvd
City
Daytona Beach
State
Florida
Zip
32114-2709
Phone Number
386-425-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9116912 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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