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CRYSTAL COMMUNITY E N T
NPI 1669590790
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Crystal River, FL

Active since March 27, 2007
790 SE 5TH TER, CRYSTAL RIVER, FL 34429(352) 795-0011(352) 795-9481 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal Community E N T NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL COMMUNITY E N T (NPI 1669590790) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Crystal River, Florida and active in the NPI registry since March 2007. The organization lists Kelly Surrency, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1669590790
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameCRYSTAL COMMUNITY E N T
Location Address790 SE 5TH TERCrystal River, FL 34429-4852
Mailing Address790 Se 5th TerCrystal River, FL 34429-4852 · (352) 795-0011 · Fax (352) 795-9481
Phone(352) 795-0011
Fax(352) 795-9481
Organization SubpartNo
Authorized OfficialKelly SurrencyOffice Manager · (352) 795-0011
Enumeration DateMarch 27, 2007
Last NPPES UpdateSeptember 11, 2018
✔ NPI 1669590790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in FL · OS5716
Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

790 SE 5TH TER, Crystal River, FL 34429
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Other Identifiers 5

Other200691FL · Avmed
OtherDA5520FL · Railroad Mcr Group#
Other1409549FL · United Mine Workers
Other80221FL · Bcbs Of Florida
OtherP00062969FL · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DENIS WALTER GRILLO D.O.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
790 SE 5TH TER
CRYSTAL RIVER, FL 34429
Citrus County (352) 795-0011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Community E N T's NPI number?

The NPI number for Crystal Community E N T is 1669590790. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Crystal Community E N T located?

Crystal Community E N T is located at 790 SE 5th Ter, Crystal River, FL 34429. The listed phone number is (352) 795-0011.

What is Crystal Community E N T's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

When was this NPI record last updated?

The NPPES record for Crystal Community E N T was last updated on September 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.