# CHP FL MEDICAL AFFILIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245121052
- **Authorized official:** DR. BRIAN CRENSHAW MD (OWNER)
- **Authorized official phone:** (941) 400-0641

## Contact information

- **Practice address:** 557 HEALTH BLVD STE 100, DAYTONA BEACH, FL 32114-1427
- **Practice address phone:** (941) 400-0641
- **Mailing address:** 7041 BRIER CREEK CT, LAKEWOOD RANCH, FL 34202-4215
- **Mailing address phone:** (941) 400-0641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2025
- **Last updated:** 08/07/2025