Crestview Surgery Center Lp in Crestview - Surgery
Crestview Surgery Center Lp - NPI 1619906468
Crestview Surgery Center Lp is a Surgery in Crestview, Florida. Crestview Surgery Center Lp practices all healthcare services and medical treatments related to Surgery. The NPI Number for Crestview Surgery Center Lp is 1619906468. The last update date is 2022-07-21.
Crestview Surgery Center Lp's current location address is 400 Redstone Ave W, Crestview, Florida. You can contact this provider via phone number 8506831555 and fax number 8506831556. The mailing address for Crestview Surgery Center Lp is 400 Redstone Ave W, Crestview, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crestview Surgery Center Lp |
|---|---|
| Address | 400 Redstone Ave W, Crestview, Florida |
| Phone Number | 8506831555 |
| Fax Number | 8506831556 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Miller L David |
| Telephone Number | 6154657016 |
NPI Number Detail
| NPI Number | 1619906468 |
|---|---|
| Provider Enumeration Date | 2006-07-02 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 400 Redstone Ave W |
|---|---|
| City | Crestview |
| State | Florida (FL) |
| Post Code | 325368467 |
| Phone Number | 8506831555 |
| Fax Number | 8506831556 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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What is the unique identifier code issued to Crestview Surgery Center Lp by the Centers for Medicare & Medicaid Services (CMS)?
The Crestview Surgery Center Lp has been assigned the NPI (National Provider Identifier) 1619906468. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Crestview Surgery Center Lp located?
The Crestview Surgery Center Lp is located at 400 Redstone Ave W, Crestview, FL 325368467.
What is Crestview Surgery Center Lp's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Crestview Surgery Center Lp's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619906468 to Crestview Surgery Center Lp?
The Centers for Medicare & Medicaid Services assigned the 1619906468 to Crestview Surgery Center Lp on 2006-07-02.
When was the information pertaining to Crestview Surgery Center Lp most recently updated or revised?
The details related to Crestview Surgery Center Lp, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.