# KAISER DYNAMIC HEALTH

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

## Provider details

- **NPI number:** 1750004792
- **Authorized official:** GEORGE I CRAWFORD MD (CMO)
- **Authorized official phone:** (404) 910-6098

## Contact information

- **Practice address:** 180 E DANIA BEACH BLVD UNIT 1202, DANIA BEACH, FL 33004-3004
- **Practice address phone:** (404) 910-6089
- **Mailing address:** 7909 FAITH LN, MONTGOMERY, AL 36117-3752
- **Mailing address phone:** (404) 910-6089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2022
- **Last updated:** 09/23/2022