Crystal Community E N T

LBN: Crystal Community E N T
Crystal Community E N T is an health care organization with primary practice located at 790 Se 5Th Ter , Crystal River FL 34429-4852. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as the primary health care specialty. Crystal Community E N T can be contacted via phone (352) 795-0011, or through Surrency, Kelly via phone (352) 795-0011.

Contact Information

Primary practice address
790 Se 5Th Ter Crystal River FL 34429-4852
Phone: (352) 795-0011
Fax: (352) 795-9481
Website:
Map and Directions
Authorized official contact:
Name: Surrency, Kelly
Phone: (352) 795-0011

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X OS5716 Florida

Profile Details

NPI number 1669590790
LBN Legal business name Crystal Community E N T
DBA Doing business as
Authorized official Surrency, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Sep 11th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669590790 NPPES
Florida Other 80221 BCBS OF FLORIDA
Florida Other DA5520 BCBS OF FLORIDA
Florida Other 1409549 BCBS OF FLORIDA
Florida Other P00062969 BCBS OF FLORIDA
Florida Other 200691 BCBS OF FLORIDA

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