Crystal R Mead in Edgewater - Physician Assistant

Crystal R Mead - NPI 1497861306

Crystal R Mead is a Physician Assistant in Edgewater, Florida. Crystal R Mead practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Crystal R Mead is 1497861306. The last update date is 2010-09-29.

Crystal R Mead's current location address is 109 W Knapp Avenue, Edgewater, Florida. You can contact this provider via phone number 3864274544 and fax number 3864278688. The mailing address for Crystal R Mead is 109 W Knapp Avenue, Edgewater, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Crystal R Mead
Address 109 W Knapp Avenue, Edgewater, Florida
Phone Number 3864274544
Fax Number 3864278688
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1497861306
Provider Enumeration Date 2006-08-22
Last Updated Date 2010-09-29

Provider Mailing Address Detail

Address 109 W Knapp Avenue
City Edgewater
State Florida (FL)
Post Code 32132
Phone Number 3864274544
Fax Number 3864278688

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA9102163
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Crystal R Mead

What is the unique 10-digit identifier code issued to Crystal R Mead by the Centers for Medicare & Medicaid Services?

The Crystal R Mead has been assigned the NPI (National Provider Identifier) 1497861306 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Crystal R Mead's facilities are situated?

The facilities of Crystal R Mead are physically located at the following address: 109 W Knapp Avenue, Edgewater, FL, 32132.

What is the area of specialization for Crystal R Mead, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Crystal R Mead is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Crystal R Mead receive the assignment of its 1497861306 from the Centers for Medicare & Medicaid Services?

The Crystal R Mead was issued its 1497861306 by the Centers for Medicare & Medicaid Services on 2006-08-22.

As of what date were the details pertaining to Crystal R Mead last refreshed?

The information related to the Crystal R Mead, including its address, specialty, and other relevant details, was last updated on 2010-09-29.

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