Organization · Type 2 NPI
Crystal Community E N T
Otolaryngology/Facial Plastic Surgery Physician · Crystal River, FL
NPI number
1669590790
Active
Practice location
790 SE 5th Ter
Crystal River, FL 34429-4852
Fax (352) 795-9481
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | OS5716 (FL) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Another provider at this address
About NPI 1669590790
Crystal Community E N T's National Provider Identifier is 1669590790, issued on Mar 27, 2007. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Crystal River, FL. The record was last updated on Sep 11, 2018.