Individual
MISS NEKIA C CRUTCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTER DERMATOLOGY
Contact information
Practice address
212 N 28TH ST, FORT PIERCE, FL 34947-3356
(772) 360-2080
Mailing address
212 N 28TH ST, FORT PIERCE, FL 34947-3356
(772) 360-2080
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C623632865610
FL
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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