OrganizationActive
Crystal Community E N T
NPI 1669590790 · Otolaryngology/Facial Plastic Surgery Physician · Crystal River, FL
Provider details
- NPI number
- 1669590790
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Surrency, Office Manager(352) 795-0011
- License
- OS5716 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
790 Se 5th Ter
Crystal River, FL 34429-4852
Phone: (352) 795-0011
Fax: (352) 795-9481
Approximate (ZIP-level) locationGet directions
Mailing address
790 Se 5th Ter
Crystal River, FL 34429-4852
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2018-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.