Crossette, Paul Chanmugam

Crossette, Paul Chanmugam is an individual health care provider with primary practice located at 1055 Saxon Blvd , Orange City FL 32763-8468. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Crossette, Paul Chanmugam can be contacted via phone (386) 917-5025.

Contact Information

Primary practice address
1055 Saxon Blvd Orange City FL 32763-8468
Phone: (386) 917-5025
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME86634 Florida

Profile Details

NPI number 1962533257
LBN Legal business name Crossette, Paul Chanmugam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated May 15th, 2008 - about 16 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 1962533257 NPPES
Florida MEDICAID 277727400
Florida Other 93172

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