Crosby, Mary Cecilia

Crosby, Mary Cecilia is an individual health care provider with primary practice located at 5607 Nw 27Th Ave Ste 2 , Miami FL 33142-2826. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Crosby, Mary Cecilia can be contacted via phone (305) 376-6400.

Contact Information

Primary practice address
5607 Nw 27Th Ave Ste 2 Miami FL 33142-2826
Fax: (305) 636-5155
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN0011236 Florida

Profile Details

NPI number 1194761213
LBN Legal business name Crosby, Mary Cecilia
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated May 19th, 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 1194761213 NPPES
Florida MEDICAID 113244600

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