| NPI | 1770922007 |
|---|---|
| Doing Business As | CREST MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | RONALD JOSEPH ALDRIDGE Mgr 352-504-8546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA3330) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |