Healthcare Provider Details

I. General information

NPI: 1811931694
Provider Name (Legal Business Name): WILLIAM DAVID CRAIG D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: WILLIAM DAVID CRAIG D.O

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 SE OCEAN BLVD. STE 101
STUART FL
34996
US

IV. Provider business mailing address

2220 SE OCEAN BLVD. STE 101
STUART FL
34996
US

V. Phone/Fax

Practice location:
  • Phone: 772-283-8380
  • Fax: 772-283-5538
Mailing address:
  • Phone: 772-283-8380
  • Fax: 772-283-5538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberOS21503
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number859
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: