Crestview Neurology in Crestview - Neurology
Crestview Neurology - NPI 1194911768
Crestview Neurology is a Neurology in Crestview, Florida. Crestview Neurology practices all healthcare services and medical treatments related to Neurology. The NPI Number for Crestview Neurology is 1194911768. The last update date is 2012-10-05.
Crestview Neurology's current location address is 535 S Ferdon Blvd, Crestview, Florida. You can contact this provider via phone number 8504234664 and fax number 8503988824. The mailing address for Crestview Neurology is 535 S Ferdon Blvd, Crestview, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crestview Neurology |
|---|---|
| Address | 535 S Ferdon Blvd, Crestview, Florida |
| Phone Number | 8504234664 |
| Fax Number | 8503988824 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER / PH |
|---|---|
| Authorized Official Name | Pan Shijun |
| Credentials | M.D. |
| Telephone Number | 8504234664 |
NPI Number Detail
| NPI Number | 1194911768 |
|---|---|
| Provider Enumeration Date | 2007-09-18 |
| Last Updated Date | 2012-10-05 |
Provider Mailing Address Detail
| Address | 535 S Ferdon Blvd |
|---|---|
| City | Crestview |
| State | Florida (FL) |
| Post Code | 325364237 |
| Phone Number | 8504234664 |
| Fax Number | 8503988824 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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What is the unique provider identifier assigned to Crestview Neurology?
The Crestview Neurology has been issued the NPI (National Provider Identifier) 1194911768 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Crestview Neurology is located?
The Crestview Neurology is situated at the following address: 535 S Ferdon Blvd, Crestview, FL, 325364237.
What is Crestview Neurology's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Crestview Neurology is Neurology, and the taxonomy code that classifies this field of practice is 2084N0400X.
On what date did Crestview Neurology receive its 1194911768 assignment from the Centers for Medicare & Medicaid Services?
The Crestview Neurology was assigned its 1194911768 on 2007-09-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Crestview Neurology most recently updated or refreshed?
The details pertaining to the Crestview Neurology, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-05.
NPI Number: 1679570980
Address: 333 S Beaudry Ave, Los Angeles, CA