Individual
DR. CRYSTAL IRENE TALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3042 N FEDERAL HWY STE 100, FT LAUDERDALE, FL 33306-1400
(954) 776-4877
Mailing address
3042 N FEDERAL HWY STE 100, FT LAUDERDALE, FL 33306-1400
(954) 776-4877
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
OS17129
FL
207V00000X
Obstetrics & Gynecology Physician
R5042
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
R5046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OS17129
—
FL
Enumeration date
07/28/2011
Last updated
08/04/2021
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