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Organization
FRESENIUS VASCULAR CARE CRESTVIEW ASC LLC
Active
Organization
FRESENIUS VASCULAR CARE CRESTVIEW ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MILLER MD (SR. VICE PRESIDENT)
(610) 644-8900
Entity
Organization
Contact information
Practice address
214 COVELL RD, CRESTVIEW, FL 32539-6060
(850) 864-4005
Mailing address
214 COVELL RD, CRESTVIEW, FL 32539-6060
(850) 864-4005
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
05/12/2022
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