| NPI | 1184643223 |
|---|---|
| Doing Business As | CRYSTAL FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | DAWN GOODPASTER President 352-794-5086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |