Crawford, Matthew B

Crawford, Matthew B is an individual health care provider with primary practice located at 1000 Waterman Way , Tavares FL 32778-5266. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Crawford, Matthew B can be contacted via phone (407) 667-0505.

Contact Information

Primary practice address
1000 Waterman Way Tavares FL 32778-5266
Phone: (407) 667-0505
Fax: (407) 667-4338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9266041 Florida

Profile Details

NPI number 1891036182
LBN Legal business name Crawford, Matthew B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2013
Last updated Apr 19th, 2024 - about 7 months 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 1891036182 NPPES
Florida Other PENDING BCBS
Florida MEDICAID PENDING BCBS

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