Organization
CRYSTAL ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PIKE (MANAGING MEMBER)
(305) 447-2332
Entity
Organization
Contact information
Practice address
110 PHOENETIA AVE, CORAL GABLES, FL 33134-3312
(305) 567-5881
(395) 567-5882
Mailing address
110 PHOENETIA AVE, CORAL GABLES, FL 33134-3312
(305) 567-5881
(395) 567-5882
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
FL
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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