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NPI Code Detail

MEDICARE: DR. WILLIAM F CROOK M.D.

MEDICARE: DR. WILLIAM F CROOK 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
1174400000XSpecialistME85470FL
22085R0001XRadiation Oncology PhysicianME85470FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P01572573OTHERFLRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
144019OTHERFLBLUE CROSS
21249230OTHERFLWELLCARE
4P509207OTHERFLOPTIMUM
5P106120OTHERFLFREEDOM
644019OTHERFLBCBS
7293711OTHERFLAVMED
87334566OTHERFLAETNA
99402002OTHERFLCIGNA
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770566069
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM F CROOK M.D.
Provider Business Mailing Address
First Line : 2234 COLONIAL BLVD
Second Line : ATTN: PAYER CONTRACTING & RELATIONS DEPT.
City : FORT MYERS
State : FL
Zip : 33907-1412
Country : US
Telephone Number : 239-931-7342
Fax Number : 239-931-7385
Provider Business Practice Location Address
First Line : 5550 S US HIGHWAY 1
Second Line :
City : FORT PIERCE
State : FL
Zip : 34982-8701
Country : US
Telephone Number : 772-293-0377
Fax Number : 772-293-0388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 10/20/2016

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Directions to “ DR. WILLIAM F CROOK M.D.” Practice Location

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