Buckland, Krystal M
Buckland, Krystal M is an individual health care provider with primary practice located at 1150 N 35Th Ave Ste 345, Hollywood FL 33021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Buckland, Krystal M can be contacted via phone (954) 986-6300.Contact Information
Primary practice address
1150 N 35Th Ave Ste 345
Hollywood FL 33021
Phone: (954) 986-6300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA 9103945 | Florida |
Profile Details
| NPI number | 1467538462 |
|---|---|
| LBN Legal business name | Buckland, Krystal M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Dec 26th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467538462 | NPPES |
| Florida | Other | AA241V | MEDICARE PTAN |
| Florida | MEDICAID | 2928337-00 | MEDICARE PTAN |
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