Healthcare Provider Details
I. General information
NPI: 1194111930
Provider Name (Legal Business Name): JOSHUA MURRAY CRANE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/08/2015
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
350 7TH ST N
NAPLES FL
34102-5754
US
IV. Provider business mailing address
PO BOX 112019
NAPLES FL
34108-0134
US
V. Phone/Fax
- Phone: 239-624-8250
- Fax: 239-624-8251
- Phone: 239-624-0400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | OS18136 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | OS18136 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: