Organization
CHP FL MEDICAL AFFILIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN CRENSHAW MD (OWNER)
(941) 400-0641
Entity
Organization
Contact information
Practice address
557 HEALTH BLVD STE 100, DAYTONA BEACH, FL 32114-1427
(941) 400-0641
Mailing address
7041 BRIER CREEK CT, LAKEWOOD RANCH, FL 34202-4215
(941) 400-0641
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
08/07/2025
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