Individual
DR. CRYSTAL ANNE BUJOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
UO2207
FL
207RC0000X
Cardiovascular Disease Physician
OS 11694
FL
207RC0000X
Cardiovascular Disease Physician
Primary
R3480
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IH039Z
MEDICARE NUMBER
FL
Enumeration date
09/14/2009
Last updated
06/25/2024
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