Provider Demographics
NPI:1194346007
Name:CORONA, CRYSTAL (DC)
Entity type:Individual
Prefix:DR
First Name:CRYSTAL
Middle Name:
Last Name:CORONA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21038 MONZA LOOP
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-8545
Mailing Address - Country:US
Mailing Address - Phone:561-449-1119
Mailing Address - Fax:
Practice Address - Street 1:21038 MONZA LOOP
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-8545
Practice Address - Country:US
Practice Address - Phone:813-308-9116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-01
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13127111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor