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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