Crystal Community E N T
NPI #1669590790 in Crystal River, Florida
Provider Information
- NPI Number
- 1669590790
- Entity Type
- Organization
- Organization Name
- Crystal Community E N T
- Primary Specialty
- Otolaryngology - Otolaryngology/Facial Plastic Surgery
- Enumeration Date
- Mar 27, 2007
- Last Updated
- Sep 11, 2018
Practice Location
- Address
- 790 SE 5TH TER
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-4852
- Phone
- (352) 795-0011
Authorized Official
- Name
- MRS. KELLY SURRENCY
- Title
- OFFICE MANAGER
- Phone
- (352) 795-0011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology - Otolaryngology/Facial Plastic Surgery — Otolaryngology/Facial Plastic Surgery |
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