Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crestview Immediate Care LLC

Organization Primary Care Clinic/Center · NPI 1073134730

Crestview Immediate Care LLC is a Primary Care Clinic/Center in Crestview, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4100 S Ferdon Blvd Ste A3
Crestview, FL 32536-5287
Phone: (850) 758-7791
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1073134730
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aliason Martin-Overton — Owner · (850) 634-6345
NPI enumeratedMay 4, 2020
Last updated in NPPESJune 9, 2020
Certification dateJune 9, 2020
Mailing address4100 S Ferdon Blvd Ste A3, Crestview, FL 32536-5287