Healthcare Provider Details
I. General information
NPI: 1528060555
Provider Name (Legal Business Name): FRANCIS N CRESPO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/10/2005
Last Update Date: 07/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1321 NW 14TH ST STE 400
MIAMI FL
33125-1655
US
IV. Provider business mailing address
15476 NW 77TH CT
MIAMI LAKES FL
33016-5823
US
V. Phone/Fax
- Phone: 305-326-3343
- Fax: 305-325-0887
- Phone: 305-326-3343
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| License Number | ME63638 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: