Individual
JESSICA CRYSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 NW 14TH ST FL 4, MIAMI, FL 33136-2107
(305) 243-9404
Mailing address
1120 NW 14TH ST FL 4, MIAMI, FL 33136-2107
(305) 243-9404
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME145719
FL
Other
Enumeration date
07/22/2010
Last updated
08/24/2020
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