CRESTVIEW HEALTH AND WELLNESS CENTER LLC; NPI #1811425002

Contact Information

CRESTVIEW HEALTH AND WELLNESS CENTER LLC

596 N FERDON BLVD
CRESTVIEW, FL 32536-2753

Phone: 850-306-3268
Fax: 850-398-5029
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	363LP2300X	50	Nurse Practitioner
Chiropractor	111N00000X	35	Chiropractic
Clinic/Center	261Q00000X
Women's Health	363LW0102X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for CRESTVIEW HEALTH AND WELLNESS CENTER LLC

NPI #	`1811425002`
LBN Legal business name	CRESTVIEW HEALTH AND WELLNESS CENTER LLC
Authorized official	DAVID RAWSON - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/01/2017
Last updated	05/23/2025 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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