Crouch, Fred Michael

Crouch, Fred Michael is an individual health care provider with primary practice located at 524 Se Osceola St Suite 100, Stuart FL 34994-2322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Crouch, Fred Michael can be contacted via phone (772) 419-2379.

Contact Information

Primary practice address
524 Se Osceola St Suite 100 Stuart FL 34994-2322
Phone: (772) 419-2379
Fax: (772) 419-2377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME77601 Florida

Profile Details

NPI number 1558397497
LBN Legal business name Crouch, Fred Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jun 28th, 2012 - about 13 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 1558397497 NPPES
Florida Other 44862A BCBS HMO
Florida Other 44862B BCBS HMO
Florida MEDICAID 256527700 BCBS HMO
Florida Other 44862 BCBS HMO

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