OrganizationActive
Crestview Surgery Center Lp
NPI 1619906468 · Surgery Physician · Crestview, FL
Provider details
- NPI number
- 1619906468
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Miller, President(615) 465-7016
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
400 Redstone Ave W
Crestview, FL 32536-8467
Phone: (850) 683-1555
Fax: (850) 683-1556
Street-level locationGet directions
Mailing address
400 Redstone Ave W
Crestview, FL 32536-8467
Other names (DBA / former)
- Doing business as
- Crestview Surgery Center
Registry dates
- Enumerated
- 2006-07-02
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.