Organization
CRESTLINE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASEY ROBERTSON CHIEF ADMIN OFFICER (CAO)
(210) 422-4613
Entity
Organization
Contact information
Practice address
29399 US HWY 19N, SUITE 150, CLEARWATER, FL 33761
(727) 258-3743
Mailing address
29399 US HWY 19N, SUITE 150, CLEARWATER, FL 33761
(727) 258-3743
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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