institution
Crystal Community E N T
Otolaryngology/Facial Plastic Surgery Physician in Crystal River, Florida
NPI 1669590790

Crystal Community E N T is a Otolaryngology/Facial Plastic Surgery Physician based in Crystal River, FL and is specialized in Otolaryngology/Facial Plastic Surgery. Crystal Community E N T practices in Crystal River, FL. The NPI Number for Crystal Community E N T is 1669590790 and holds a License No. OS5716 (Florida).

The current practice location address for Crystal Community E N T is 790 Se 5Th Ter, Crystal River, FL and can be reached out via phone at 352-795-0011 and via fax at 352-795-9481.

Location: 790 Se 5Th Ter, Crystal River, FL, 34429-4852
institution
Provider Profile Details
NPI Number
1669590790
Provider Name
Crystal Community E N T
Credential
Provider Entity Type
Organization
Address
790 Se 5Th Ter, Crystal River, FL, 34429-4852
Phone Number
352-795-0011
Fax Number
352-795-9481
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
80221 01 FL BCBS OF FLORIDA
DA5520 01 FL RAILROAD MCR GROUP#
1409549 01 FL UNITED MINE WORKERS
P00062969 01 FL RAILROAD MEDICARE
200691 01 FL AVMED
institution
Provider Business Practice Location Address Details
Address
790 Se 5Th Ter
City
State
Zip
34429-4852
Phone Number
352-795-0011
Fax Number
352-795-9481
person
Provider Business Mailing Address Details
Address
790 Se 5Th Ter
City
State
Zip
34429-4852
Phone Number
352-795-0011
Fax Number
352-795-9481
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
License No.
OS5716 (Florida)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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