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NPI Code Detail

MEDICARE: DR. ROBERT JAY CROWTHER M.D.

MEDICARE: DR. ROBERT JAY CROWTHER M.D.
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
12085R0202XDiagnostic Radiology PhysicianME89464FL

Other Identifiers

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

General Provider Information

NPI Number : 1568439883
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT JAY CROWTHER M.D.
Provider Business Mailing Address
First Line : PO BOX 850001
Second Line :
City : ORLANDO
State : FL
Zip : 32885-0421
Country : US
Telephone Number : 850-460-2176
Fax Number : 850-460-2181
Provider Business Practice Location Address
First Line : 7800 US HIGHWAY 98 W
Second Line :
City : MIRAMAR BEACH
State : FL
Zip : 32550-7228
Country : US
Telephone Number : 850-278-3552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2006
Last Update Date : 02/18/2010

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