Individual
CRYSTAL R MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
109 W KNAPP AVENUE, EDGEWATER, FL 32132
(386) 427-4544
(386) 427-8688
Mailing address
109 W KNAPP AVENUE, EDGEWATER, FL 32132
(386) 427-4544
(386) 427-8688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102163
FL
Other
Enumeration date
08/22/2006
Last updated
09/29/2010
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