Organization
CREWS CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON L CREWS D.C. (DIRECTOR/OWNER)
(386) 492-7963
Entity
Organization
Contact information
Practice address
1365 BEVILLE RD, DAYTONA BEACH, FL 32119-1529
(386) 846-3467
(386) 269-1209
Mailing address
1365 BEVILLE RD, DAYTONA BEACH, FL 32119-1529
(386) 846-3467
(386) 269-1209
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9585
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH9585
FLORIDA MEDICAL LICENSE
FL
Enumeration date
04/14/2009
Last updated
04/23/2009
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