MEDICARE: DR. WILLIAM L CROUCH IV MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME77617	FL

General Provider Information

NPI Number	:	1104878016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM L CROUCH IV MD

Provider Business Mailing Address
First Line	:	2630 BOBCAT VILLAGE CENTER ROAD
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34288
Country	:	US
Telephone Number	:	941-423-9936
Fax Number	:	941-426-9794

Provider Business Practice Location Address
First Line	:	2630 BOBCAT VILLAGE CENTER ROAD
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34288
Country	:	US
Telephone Number	:	941-423-9936
Fax Number	:	941-426-9794

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	09/13/2007

Similar Medicare Providers

1538852066 — LILLIAN ONEIL
Practice Location Address:

3662 ISLAND CLUB DR APT 12
NORTH PORT, FL
34288-8465

Practice Phone: 941-339-2574
Practice Fax:

1871568386 — EDWARD MOITOSO DMD
Practice Location Address:

3015 BOBCAT VILLAGE CENTER RD
NORTH PORT, FL
34288-8972

Practice Phone: 941-429-6558
Practice Fax: 941-429-6559

1144281213 — DR. JANET K. LEWIS M.D.
Practice Location Address:

2345 BOBCAT VILLAGE CENTER RD , SUITE 202
NORTH PORT, FL
34288-8999

Practice Phone: 941-257-2930
Practice Fax: 941-257-2923

1740228386 — PRIME HEALTH OF NORTH PORT LLC
Practice Location Address:

2975 BOBCAT VILLAGE CENTER RD , SUITE 100
NORTH PORT, FL
34288-4600

Practice Phone: 941-423-9936
Practice Fax: 941-426-9794

1467492496 — LEE S GROSS MD
Practice Location Address:

2975 BOBCAT VILLAGE CENTER RD , SUITE 100
NORTH PORT, FL
34288-4600

Practice Phone: 941-423-9936
Practice Fax: 941-426-9794

1801831615 — PETER DANYI M.D.
Practice Location Address:

2500 BOBCAT VILLAGE CENTER RD , UNIT G
NORTH PORT, FL
34288-8476

Practice Phone: 407-963-3943
Practice Fax: 407-400-7966

Directions to “ DR. WILLIAM L CROUCH IV MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.