Crystal Dejesus (NPI# 1063775765, PAC ID# 6800020579) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1063775765 |
| PAC ID by PECOS | 6800020579 |
| Professional Enrollment ID | I20131011000943 |
| Full Name | Crystal Dejesus |
| Organization Legal Name | STAGES OF LIFE MEDICAL INSTITUTE |
| Address |
1917 Boothe Cir Longwood FL 32750-6708 |
| Phone Number | 4076793337 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6305826215 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1917 Boothe Cir, Longwood, FL 32750-6708 | 4076793337 | STAGES OF LIFE MEDICAL INSTITUTE |
| Organization Legal Name | STAGES OF LIFE MEDICAL INSTITUTE |
| Physicians | 1 |
| Street Address |
1917 BOOTHE CIR |
| City | LONGWOOD |
| State | FL |
| Zip | 32750-6708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David S Klein | General Practice | 1917 Boothe Cir, Longwood, FL 32750-6708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc H Sherman | Optometry | 1495 W St Rd, 434 Suite 109, Longwood, FL 32750-3861 | |
| Marcial Serrano | Psychiatry | Orlando Health Physician Group Inc | 455 W Warren Ave, Longwood, FL 32750-4002 |
| Julie A Harper | Clinical Social Worker | Orlando Health Physician Group Inc | 455 W Warren Ave, Longwood, FL 32750-4002 |
| Gilbert Tetteh Tamakloe | Psychiatry | Orlando Health Physician Group Inc | 455 W Warren Ave, Longwood, FL 32750-4002 |
| Dennis E Platt | Psychiatry | Orlando Health Physician Group Inc | 455 W Warren Ave, Longwood, FL 32750-4002 |
| Lorraine J Rouse | Nurse Practitioner | Orlando Health Physician Group Inc | 455 W Warren Ave, Longwood, FL 32750-4002 |
| Debra Ann Dube | Internal Medicine | 901 W Warren Ave, Longwood, FL 32750-4003 | |
| Sherrine Faye Richmond | Nurse Practitioner | Lpmg Inc | 212 W Bay Ave, Longwood, FL 32750-4126 |
| Jacqueline Azelvandre | Family Medicine | 301 S Milwee St, Longwood, FL 32750-4127 | |
| Jessie A Cirolia | Nurse Practitioner | Azelvandre Do and Associates LLC | 301 S Milwee St, Longwood, FL 32750-4127 |
| Find all physicians in zip 32750 | |||
| City | LONGWOOD |
| Zip Code | 32750 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LONGWOOD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Crystal Dejesus.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.