Crestview Urgent Care, Inc.

NPI #1144458647 in Crestview, Florida

Provider Information

NPI Number
1144458647
Entity Type
Organization
Organization Name
Crestview Urgent Care, Inc.
Primary Specialty
Clinic/Center - Urgent Care
Enumeration Date
Jun 23, 2009
Last Updated
Aug 27, 2010

Practice Location

Address
1502 S FERDON BLVD
State
Florida
ZIP Code
32536-8444
Phone
(850) 398-1079

Authorized Official

Name
CHARLES JOSEPH CLANCY, PA-C
Title
PHYSICIAN ASSISTANT
Phone
(850) 398-8668

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care

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