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NPI Code Detail

MEDICARE: JOSEPH P. CRAWFORD, MD PA

MEDICARE: JOSEPH P. CRAWFORD, MD PA
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
1208800000XUrology PhysicianME46397FL
2208800000XUrology PhysicianME83321FL
3207ZP0101XAnatomic Pathology PhysicianME51265FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CK7430OTHERFLMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
134111OTHERFLBCBS

General Provider Information

NPI Number : 1124077441
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSEPH P. CRAWFORD, MD PA
Provider Business Mailing Address
First Line : 1986 35TH AVE
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-2533
Country : US
Telephone Number : 772-562-7220
Fax Number : 772-562-5476
Provider Business Practice Location Address
First Line : 1986 35TH AVE
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-2533
Country : US
Telephone Number : 772-562-7220
Fax Number : 772-562-5476
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. THOMAS MICHAEL SHEA
Credential :
Telephone Number : 772-562-9339
Provider Enumeration Date : 05/06/2006
Last Update Date : 09/11/2025

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