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Individual

ELIE CRYSTAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7000
Mailing address
4929 SW 74TH CT FL 1, MIAMI, FL 33155-4412

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
125.071286
IL
2084P0800X
Psychiatry Physician
Primary
OS16772
FL

Other

Enumeration date
06/15/2017
Last updated
06/22/2023
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