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Individual

CRYSTAL LEE SHAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6271 SHERMAN ST, HOLLYWOOD, FL 33024-4249
(754) 281-4257
Mailing address
6271 SHERMAN ST, HOLLYWOOD, FL 33024-4249
(754) 281-4257

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11043986
FL

Other

Enumeration date
12/05/2025
Last updated
12/05/2025
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