MEDICARE: DR. CRAIG SCOTT ALTUS MD, FCCP

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	207RP1001X	Pulmonary Disease Physician	ME 49322	FL

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	:	1942390059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRAIG SCOTT ALTUS MD, FCCP

Provider Business Mailing Address
First Line	:	PO BOX 221257
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33422-1257
Country	:	US
Telephone Number	:	561-835-6888
Fax Number	:	561-835-3888

Provider Business Practice Location Address
First Line	:	5555 W BLUE HERON BLVD
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33418-7815
Country	:	US
Telephone Number	:	561-840-0754
Fax Number	:

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

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	07/07/2021

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