MEDICARE: MR. ROBERT H CRAWFORD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME143542	FL
2	207Q00000X	Family Medicine Physician	2003002302	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063410579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT H CRAWFORD MD

Provider Business Mailing Address
First Line	:	2675 WINKLER AVE FL 2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9342
Country	:	US
Telephone Number	:	877-856-3774
Fax Number	:

Provider Business Practice Location Address
First Line	:	5172 MASON CORBIN CT STE 1
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-4540
Country	:	US
Telephone Number	:	239-936-7171
Fax Number	:	239-936-6084

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	03/12/2026

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