National Provider Identifier Database

CRESTVIEW PEDIATRICS AND ADOLESCENT CENTER PA
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

CRESTVIEW PEDIATRICS AND ADOLESCENT CENTER PA
332 MEDCREST DRIVE
CRESTVIEW, FL32536
Phone: 850-683-5100
Fax: 850-683-5102
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for CRESTVIEW PEDIATRICS AND ADOLESCENT CENTER PA

NPI Number 1891850855
Legal business name
LBN
CRESTVIEW PEDIATRICS AND ADOLESCENT CENTER PA
Authorized official BERNADINE PETER - (OFFICE MGR)
Entity Organization
Organization subpart No
Enumeration date 12/27/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME74916
  • FL Other: 94749 BCBS

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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