Crystal Weaks is a Surgical in Fort Myers, Florida. Crystal Weaks practices all healthcare services and medical treatments related to Surgical. The NPI Number for Crystal Weaks is 1053348300. The last update date is 2007-07-08.
Crystal Weaks's current location address is 8010 Summerlin Lakes Dr, Fort Myers, Florida. You can contact this provider via phone number 2399391767 and fax number 2399395895. The mailing address for Crystal Weaks is 8010 Summerlin Lakes Dr, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal Weaks |
|---|---|
| Address | 8010 Summerlin Lakes Dr, Fort Myers, Florida |
| Phone Number | 2399391767 |
| Fax Number | 2399395895 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1053348300 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8010 Summerlin Lakes Dr |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339071849 |
| Phone Number | 2399391767 |
| Fax Number | 2399395895 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA9100925 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 290598100 | FL | -- | |
| P00145895 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Crystal Weaks by the Centers for Medicare & Medicaid Services?
The Crystal Weaks has been assigned the NPI (National Provider Identifier) 1053348300 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 address where Crystal Weaks is geographically located?
The Crystal Weaks is physically situated at the following location: 8010 Summerlin Lakes Dr, Fort Myers, FL, 339071849.
What is Crystal Weaks's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Crystal Weaks is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.
When did the Crystal Weaks receive its 1053348300?
The Crystal Weaks was issued its 1053348300 on 2006-06-26, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Crystal Weaks, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Crystal Weaks, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.