Healthcare Provider Details

I. General information

NPI: 1710842315
Provider Name (Legal Business Name): STRAIGH2U HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17835 MURDOCK CIR UNIT A
PORT CHARLOTTE FL
33948-4091
US

IV. Provider business mailing address

17835 MURDOCK CIR UNIT A
PORT CHARLOTTE FL
33948-4091
US

V. Phone/Fax

Practice location:
  • Phone: 941-340-3636
  • Fax: 941-340-3637
Mailing address:
  • Phone: 941-340-3636
  • Fax: 941-340-3637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. EDGAR JOEL CRUZ CRISPIN
Title or Position: APRN
Credential: DNP
Phone: 941-340-3636