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Organization

CRDENTIA CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDALL TURNBULL RN (SRVP AND CHIEF CLINICAL OFFICER)
(407) 677-0400
Entity
Organization

Contact information

Practice address
1964 HOWELL BRANCH RD, SUITE 205, WINTER PARK, FL 32792-1042
(407) 677-0400
Mailing address
1964 HOWELL BRANCH RD, SUITE 205, WINTER PARK, FL 32792-1042
(407) 677-0400

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary

Other

Enumeration date
03/31/2008
Last updated
11/16/2010
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