MEDICARE: DR. JAMES M CRUMB 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	2081P0004X	Spinal Cord Injury Medicine Physician	24535	AL
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	24535	AL
3	208100000X	Physical Medicine & Rehabilitation Physician	ME172910	FL

General Provider Information

NPI Number	:	1629079793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES M CRUMB M.D.

Provider Business Mailing Address
First Line	:	PO BOX 770297
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34777-0297
Country	:	US
Telephone Number	:	251-345-0773
Fax Number	:	251-236-7345

Provider Business Practice Location Address
First Line	:	390 BAYMOOR WAY
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-7023
Country	:	US
Telephone Number	:	689-219-3922
Fax Number	:

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/21/2025

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