Crespo, Juan Vincent

Crespo, Juan Vincent is an individual health care provider with primary practice located at 2415 Se 17Th St , Ocala FL 34471-2618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Crespo, Juan Vincent can be contacted via phone (352) 732-5365.

Contact Information

Primary practice address
2415 Se 17Th St Ocala FL 34471-2618
Fax: (352) 732-5372
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME82512 Florida

Profile Details

NPI number 1609824879
LBN Legal business name Crespo, Juan Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Feb 10th, 2022 - about 2 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 1609824879 NPPES
Florida MEDICAID 278235900
Florida Other 95829

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