# CROWN RESTORATION PROSTHETICS

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

## Provider details

- **NPI number:** 1467391144
- **Authorized official:** JASMINE WILLIAMS (MANAGING MEMBER)
- **Authorized official phone:** (239) 324-8036

## Contact information

- **Practice address:** 2904 NW 19TH AVE, CAPE CORAL, FL 33993-3931
- **Practice address phone:** (239) 365-3505
- **Mailing address:** 2904 NW 19TH AVE, CAPE CORAL, FL 33993-3931
- **Mailing address phone:** (239) 365-3505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2026
- **Last updated:** 03/27/2026