Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Crestview Pediatrics and Adolescent Center PA

Organization Pediatrics Physician · NPI 1891850855

Crestview Pediatrics and Adolescent Center PA provides Pediatrics Physician services in Crestview, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

332 Medcrest Dr
Crestview, FL 32536
Phone: (850) 683-5100
Fax: (850) 683-5102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME74916 (FL)

Record details

NPI number1891850855
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernadine Peter — Office Mgr · (850) 683-5100
NPI enumeratedDecember 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing address332 Medcrest Drive, Crestview, FL 32536

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