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Organization
THE MODEL MEDICAL GROUP
Active
Organization
THE MODEL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICA MONICA CREW MD (ADMINISTRATOR)
(516) 384-1134
Entity
Organization
Contact information
Practice address
333 W COCOA BEACH CSWY STE D, COCOA BEACH, FL 32931-3513
(516) 384-1134
Mailing address
2555 COX RD, COCOA, FL 32926-3525
(516) 384-1134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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