Crawford, Danielle Venegonia

Crawford, Danielle Venegonia is an individual health care provider with primary practice located at 6841 Blanding Blvd , Jacksonville FL 32244-4418. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Crawford, Danielle Venegonia can be contacted via phone (904) 862-2175.

Contact Information

Primary practice address
6841 Blanding Blvd Jacksonville FL 32244-4418
Phone: (904) 862-2175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 01534 Maryland
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO4012 Florida

Profile Details

NPI number 1760779573
LBN Legal business name Crawford, Danielle Venegonia
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2011
Last updated Mar 1st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760779573 NPPES
Maryland MEDICAID 2353105 00

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