MEDICARE: DR. FRANK ANTHONY CRESPO M.D.

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	207V00000X	Obstetrics & Gynecology Physician	ME123057	FL

General Provider Information

NPI Number	:	1114216736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK ANTHONY CRESPO M.D.

Provider Business Mailing Address
First Line	:	16555 NW 25TH AVE
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33054-6583
Country	:	US
Telephone Number	:	786-466-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	16555 NW 25TH AVE
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33054-6583
Country	:	US
Telephone Number	:	786-466-1500
Fax Number	:

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

Provider Enumeration Date	:	04/05/2011
Last Update Date	:	12/29/2015

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