Most Relevant Information
Provider Data
| NPI Number: | 1003269424 |
| Provider Name: | CRYSTAL ELAINE BLAIR ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: | ARNP9362887 |
Most Important Dates
| Enumeration Date: | 07/20/2016 |
| Last Updated: | 01/19/2017 |
Provider Practice Location
13000 BRUCE B DOWNS BLVD
TAMPA
FL
336124745
Practice Location Phone/Fax
| Phone: | 8139722000 |
| Fax: |
Provider Mailing Location
13000 BRUCE B DOWNS BLVD
TAMPA
FL
336124745
Provider Mailing Phone/Fax
| Phone: | 7864022439 |
| Fax: |