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NPI Code Detail

MEDICARE: JAMES MAURICE CRAWFORD BSW

MEDICARE: JAMES MAURICE CRAWFORD BSW
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1740436377
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES MAURICE CRAWFORD BSW
Provider Business Mailing Address
First Line : 11031 NE 6TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33161-7182
Country : US
Telephone Number : 305-398-6100
Fax Number : 305-757-4465
Provider Business Practice Location Address
First Line : 220 SW 2ND ST
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33060-4611
Country : US
Telephone Number : 954-941-9828
Fax Number : 954-941-9808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2008
Last Update Date : 08/14/2008

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Directions to “ JAMES MAURICE CRAWFORD BSW” Practice Location

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