MEDICARE: MARGARET CRADDOCK

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	363L00000X	Nurse Practitioner	ARNP9265443	FL
2	363LF0000X	Family Nurse Practitioner	APRN9265443	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154712941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET CRADDOCK

Provider Business Mailing Address
First Line	:	PO BOX 102222
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-2222
Country	:	US
Telephone Number	:	239-274-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	345 CLYDE MORRIS BLVD STE 450
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-3114
Country	:	US
Telephone Number	:	386-672-3933
Fax Number	:

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

Provider Enumeration Date	:	02/15/2015
Last Update Date	:	03/05/2026

Similar Medicare Providers

1629020961 — TOMOKA EYE ASSOCIATES PA
Practice Location Address:

345 CLYDE MORRIS BLVD , SUITE 330
ORMOND BEACH, FL
32174-3114

Practice Phone: 386-672-4244
Practice Fax: 386-672-0603

1720181357 — VIRGINIO RODRIGUEZ
Practice Location Address:

345 CLYDE MORRIS BLVD , SUITE 360
ORMOND BEACH, FL
32174-3114

Practice Phone: 386-677-8880
Practice Fax: 386-677-9880

1154408904 — DR. JOSEPH MICHAEL ZOBIAN M.D.
Practice Location Address:

345 CLYDE MORRIS BLVD STE 330
ORMOND BEACH, FL
32174-3114

Practice Phone: 386-672-4244
Practice Fax: 386-672-0603

1780703744 — KARIN L SCHOELER O.D.
Practice Location Address:

345 CLYDE MORRIS BLVD
ORMOND BEACH, FL
32174-3114

Practice Phone: 386-672-4244
Practice Fax: 386-672-0603

1033322078 — DR. TIMOTHY D ROOT M.D.
Practice Location Address:

345 N CLYDE MORRIS BLVD , SUITE 330
ORMOND BEACH, FL
32174-3114

Practice Phone: 386-672-4244
Practice Fax:

1558569608 — DR. THOMAS MATTHEW KLINE O.D.
Practice Location Address:

345 CLYDE MORRIS BLVD , SUITE 330
ORMOND BEACH, FL
32174-3114

Practice Phone: 386-672-4244
Practice Fax: 386-672-0603

Directions to “ MARGARET CRADDOCK ” 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.