Healthcare Provider Details

I. General information

NPI: 1518154483
Provider Name (Legal Business Name): FRANCIS N CRESPO MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 07/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 NW 14TH STREET SUITE 400
MIAMI FL
33125-1673
US

IV. Provider business mailing address

15476 NW 77 COURT PMB 423
MIAMI LAKES FL
33016
US

V. Phone/Fax

Practice location:
  • Phone: 305-326-3343
  • Fax: 305-325-0887
Mailing address:
  • Phone: 305-326-3343
  • Fax: 305-325-0887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME63638
License Number StateFL

VIII. Authorized Official

Name: DR. FRANCIS N CRESPO
Title or Position: OWNER
Credential: M.D.
Phone: 305-326-3343