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Contact Information

NEKIA C CRUTCHFIELD, MASTER DERMATOLOGY
212 N 28TH ST
FORT PIERCE, FL34947-3356
 Phone: 772-360-2080
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for NEKIA C CRUTCHFIELD · (Female)

NPI Number 1386358182
Status Active
Credentials MASTER DERMATOLOGY
Entity Individual
Enumeration date 01/06/2023
Last updated 01/06/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # C623632865610
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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