Healthcare Provider Details

I. General information

NPI: 1528669512
Provider Name (Legal Business Name): DANIELLE CRAWFORD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2020
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 E SILVER SPRINGS BLVD STE 203
OCALA FL
34470-7057
US

IV. Provider business mailing address

PO BOX 832572
OCALA FL
34483-2572
US

V. Phone/Fax

Practice location:
  • Phone: 352-309-3189
  • Fax: 855-423-5060
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number11010166
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN9278927
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: