Organization
FRESENIUS VASCULAR CARE CRESTVIEW ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MILLER MD (SR. VICE PRESIDENT)
(610) 644-8900
Entity
Organization
Contact information
Practice address
214 COVELL RD, CRESTVIEW, FL 32539-6060
(850) 864-4005
Mailing address
214 COVELL RD, CRESTVIEW, FL 32539-6060
(850) 864-4005
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
05/12/2022
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