Organization
CRESTVIEW SURGERY CENTER LP
Active
Other names
Crestview Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID L MILLER (PRESIDENT)
(615) 465-7016
Entity
Organization
Contact information
Practice address
400 REDSTONE AVE W, CRESTVIEW, FL 32536-8467
(850) 683-1555
(850) 683-1556
Mailing address
400 REDSTONE AVE W, CRESTVIEW, FL 32536-8467
(850) 683-1555
(850) 683-1556
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
FL
Other
Enumeration date
07/02/2006
Last updated
07/21/2022
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