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Individual

CRYSTAL P JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 235-9058
Mailing address
595 N NOVA RD STE 118, ORMOND BEACH, FL 32174-4429
(386) 235-9058
(386) 235-9058

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35095559
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
46994
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME120108
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
TRN10060
FL

Other

Enumeration date
10/23/2006
Last updated
03/27/2026
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