Individual
MRS. CHRYSTAL DANIELLE FRAVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2609 S ORANGE AVE, ORLANDO, FL 32806-4547
(407) 203-0656
Mailing address
2609 S ORANGE AVE, ORLANDO, FL 32806-4547
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9109490
FL
Other
Enumeration date
07/07/2016
Last updated
10/09/2019
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