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

Main Street Medical Center of Crestview, PA

Organization Internal Medicine Physician · NPI 1619181914

Main Street Medical Center of Crestview, PA is an Internal Medicine Physician in Crestview, Florida. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

369 N Main St
Crestview, FL 32536-3541
Phone: (850) 398-6963
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1619181914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Kolmetz — Owner · (850) 398-6963
Other names Main Street Medical Center
NPI enumeratedMay 9, 2007
Last updated in NPPESJune 21, 2018
Mailing address369 N. Main St., Crestview, FL 32536-3541

Other providers in Crestview