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

Crestview Pediatrics and Adolescent Center PA

Organization Pediatrics Physician · NPI 1891850855

Crestview Pediatrics and Adolescent Center PA is a Pediatrics Physician 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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