Healthcare Provider Details
I. General information
NPI: 1184661324
Provider Name (Legal Business Name): ANNE CROWE FISCHER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/31/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
927 45TH ST STE 301
WEST PALM BEACH FL
33407-2450
US
IV. Provider business mailing address
927 45TH ST STE 301
WEST PALM BEACH FL
33407-2450
US
V. Phone/Fax
- Phone: 561-295-9100
- Fax: 561-845-9295
- Phone: 561-295-9100
- Fax: 561-845-9295
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | D44628 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | ME 128177 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0120X |
| Taxonomy | Pediatric Surgery Physician |
| License Number | 4301101819 |
| License Number State | MI |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0120X |
| Taxonomy | Pediatric Surgery Physician |
| License Number | ME 128177 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: