Individual
CHRISTINE A CREVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
148 13TH ST SW, LARGO, FL 33770-3127
(727) 581-8706
(727) 588-2447
Mailing address
PO BOX 2410, LARGO, FL 33779-2410
(727) 581-8706
(727) 588-2447
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9104469
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004947000
—
FL
Enumeration date
02/21/2008
Last updated
04/02/2014
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