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NPI Code Detail

MEDICARE: DR. CYNTHIA S CRAWFORD MD

MEDICARE: DR. CYNTHIA S CRAWFORD 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
1208100000XPhysical Medicine & Rehabilitation PhysicianME0046877FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
131184OTHERBCBS

General Provider Information

NPI Number : 1659356632
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNTHIA S CRAWFORD MD
Provider Business Mailing Address
First Line : 1986 35TH AVE
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-2533
Country : US
Telephone Number : 772-778-2107
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 : 772-778-2107
Fax Number : 772-562-5476
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 10/02/2013

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