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General NPI Number Information
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NPI Number | 1285806869
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Entity Type | Organization
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Legal Business Name | CHARLES H CROFT MD PA
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1402 OAK ST
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City | MELBOURNE
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State | FL
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Zip | 32901-3113
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Country | US
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Telephone | 321-722-3288
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Fax | 321-722-3468
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Provider Business Mailing Address
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Address Line | 1402 OAK ST
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City | MELBOURNE
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State | FL
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Zip | 32901-3113
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Country | US
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Telephone | 321-722-3288
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Fax | 321-722-3468
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHARLES H CROFT
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Credential |
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Telephone | 321-722-3288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME0046400
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License Number State | FL
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