Organization
CREW COMMUNITY HEALTH, INC
Active
Organization
CREW COMMUNITY HEALTH, INC
Active
Other names
Crew Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STERLING BRODNIAK DO (MEDICAL DIRECTOR)
(407) 605-2253
Entity
Organization
Contact information
Practice address
8601 COMMODITY CIRCLE, ORLANDO, FL 32819
(407) 605-2252
(855) 750-3960
Mailing address
8601 COMMODITY CIRCLE, ORLANDO, FL 32819
(407) 605-2253
(855) 750-3960
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113976900
—
FL
Enumeration date
10/03/2019
Last updated
02/06/2024
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