IndividualActive
Crystal Mead, PA
NPI 1497861306 · Physician Assistant · Edgewater, FL
Provider details
- NPI number
- 1497861306
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA9102163 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
109 W Knapp Avenue
Edgewater, FL 32132
Phone: (386) 427-4544
Fax: (386) 427-8688
Approximate (ZIP-level) locationGet directions
Mailing address
109 W Knapp Avenue
Edgewater, FL 32132
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2010-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.