CRESTVIEW PEDIATRICS AND ADOLESCENT CENTER PA
NPI 1891850855
Pediatrics in Crestview, FL

Active since December 27, 2006
332 MEDCREST DRIVE, CRESTVIEW, FL 32536(850) 683-5100(850) 683-5102 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crestview Pediatrics And Adolescent Center Pa NPPES

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

CRESTVIEW PEDIATRICS AND ADOLESCENT CENTER PA (NPI 1891850855) is a healthcare organization registered as a pediatrics in Crestview, Florida and active in the NPI registry since December 2006. The organization lists Bernadine S Peter, Office Mgr, as its authorized official.

NPPES Registry Identity

NPI1891850855
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCRESTVIEW PEDIATRICS AND ADOLESCENT CENTER PA
Location Address332 MEDCREST DRIVECrestview, FL 32536
Mailing Address332 Medcrest DriveCrestview, FL 32536 · (850) 683-5100 · Fax (850) 683-5102
Fax(850) 683-5102
Organization SubpartNo
Authorized OfficialBernadine S PeterOffice Mgr · (850) 683-5100
Enumeration DateDecember 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1891850855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in FL · ME74916
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
332 MEDCREST DRIVE, Crestview, FL 32536

Other Identifiers 1

Other94749FL · Bcbs

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 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.

Pediatrics
332 MEDCREST DRIVE
CRESTVIEW, FL 32536

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 Crestview Pediatrics And Adolescent Center PA's NPI number?

The NPI number for Crestview Pediatrics And Adolescent Center PA is 1891850855. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Crestview Pediatrics And Adolescent Center PA located?

Crestview Pediatrics And Adolescent Center PA is located at 332 Medcrest Drive, Crestview, FL 32536. The listed phone number is (850) 683-5100.

What is Crestview Pediatrics And Adolescent Center PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Crestview Pediatrics And Adolescent Center PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.