Cullen, Crystal Breeze

Cullen, Crystal Breeze is an sole proprietor health care provider with primary practice located at 1830 N Main St , Bell FL 32619-4713. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cullen, Crystal Breeze can be contacted via phone (352) 463-1100.

Contact Information

Primary practice address
1830 N Main St Bell FL 32619-4713
Phone: (352) 463-1100
Fax: (352) 463-4507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9219280 Florida

Profile Details

NPI number 1215103882
LBN Legal business name Cullen, Crystal Breeze
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2008
Last updated May 31st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215103882 NPPES
Florida MEDICAID 309129500
Florida Other AV943Z

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