Healthcare Provider Details

I. General information

NPI: 1558273052
Provider Name (Legal Business Name): AARON MICHAEL MAJOR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 BLOOMING CV
CRESTVIEW FL
32539-7425
US

IV. Provider business mailing address

114 BLOOMING CV
CRESTVIEW FL
32539-7425
US

V. Phone/Fax

Practice location:
  • Phone: 850-376-0398
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN9545299
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: