Healthcare Provider Details

I. General information

NPI: 1093438111
Provider Name (Legal Business Name): VERO WOMEN'S CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 03/16/2023
Certification Date: 03/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 37TH ST STE A
VERO BEACH FL
32960-6550
US

IV. Provider business mailing address

1255 37TH ST STE A
VERO BEACH FL
32960-6550
US

V. Phone/Fax

Practice location:
  • Phone: 203-909-1920
  • Fax:
Mailing address:
  • Phone: 772-258-4210
  • Fax: 833-464-3744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: KRISTY G CRAWFORD
Title or Position: OWNER
Credential: DO
Phone: 772-258-4210