Organization
PRIMARY CARE HOUSE CALLS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ANN CRUMLISH PA (PA, OWNER)
(850) 516-8737
Entity
Organization
Contact information
Practice address
2744 GULF BREEZE PKWY, GULF BREEZE, FL 32563-3091
(850) 934-5713
(850) 934-0379
Mailing address
2744 GULF BREEZE PKWY, GULF BREEZE, FL 32563-3091
(850) 934-5713
(850) 934-0379
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102271
FL
363LF0000X
Family Nurse Practitioner
ARNP1866262
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP9102271
FL
Other
Enumeration date
04/10/2014
Last updated
04/27/2023
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