Crognale, John

Crognale, John is an individual health care provider with primary practice located at 11373 Cortez Blvd Suite 300, Brooksville FL 34613-5414. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Crognale, John can be contacted via phone (352) 597-9095.

Contact Information

Primary practice address
11373 Cortez Blvd Suite 300 Brooksville FL 34613-5414
Phone: (352) 597-9095
Fax: (352) 597-1446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1694 Florida

Profile Details

NPI number 1871682955
LBN Legal business name Crognale, John
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 21st, 2022 - about 3 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 1871682955 NPPES
Florida MEDICAID 291499900
Florida Other Y01EK

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