Organization
CFAGI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL CRUMP (PRESIDENT, BOARD OF MANAGERS)
(615) 760-6588
Entity
Organization
Contact information
Practice address
740 SOUTH CONCOURSE PARKWAY, SUITE 200, MAITLAND, FL 32751
(407) 644-4014
Mailing address
401 COMMERCE ST, SUITE 600, NASHVILLE, TN 37219-2446
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019722701
—
FL
Enumeration date
09/29/2016
Last updated
02/22/2023
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