Crestview Surgery Center LP

NPI #1619906468 in Crestview, Florida

Provider Information

NPI Number: 1619906468
Entity Type: Organization
Organization Name: Crestview Surgery Center LP
Primary Specialty: Surgery
Enumeration Date: Jul 2, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 400 REDSTONE AVE W
City: Crestview
State: Florida
ZIP Code: 32536-8467
Phone: (850) 683-1555

Authorized Official

Name: MR. DAVID L MILLER
Title: PRESIDENT
Phone: (615) 465-7016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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Individual Providers

Provider Name	Specialty	City
Dennis A Stewart, MD	Surgery	Crestview	AI Deep Dive
DR. Chase Douglas Henderson, M.D.	Surgery	Crestview	AI Deep Dive
Thomas J Shaknovsky, DO	Surgery	Crestview	AI Deep Dive
DR. David Allen Herf, MD	Surgery	Crestview	AI Deep Dive

Organizations

Provider Name	Specialty	City
North Okaloosa Clinic Corp	Surgery	Crestview	AI Deep Dive

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