Individual
MRS. HEATHER L CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
511 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2323
(386) 239-8700
(386) 239-7070
Mailing address
18228 N US HIGHWAY 41, LUTZ, FL 33549-4400
(813) 321-1786
(813) 321-1787
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA9103052
FL
363A00000X
Physician Assistant
Primary
PA9103052
FL
Other
Enumeration date
09/15/2005
Last updated
05/14/2024
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