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Individual
MS. LINDA L CRISWELL
Active
Individual
MS. LINDA L CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101054
FL
363AM0700X
Medical Physician Assistant
PA9101054
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290816600
—
FL
01
—
Y01M6
BC/BS
FL
Enumeration date
07/20/2005
Last updated
10/23/2013
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