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 |
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Address | 109 W Knapp Avenue, Edgewater, Florida |
Phone Number | 3864274544 |
Fax Number | 3864278688 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1497861306 |
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Provider Enumeration Date | 2006-08-22 |
Last Updated Date | 2010-09-29 |
Provider Mailing Address Detail
Address | 109 W Knapp Avenue |
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City | Edgewater |
State | Florida (FL) |
Post Code | 32132 |
Phone Number | 3864274544 |
Fax Number | 3864278688 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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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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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.