Mccrave, Carla Cecilia
Mccrave, Carla Cecilia is an individual health care provider with primary practice located at 11260 Sullivan St , Riverview FL 33578-2140. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Mccrave, Carla Cecilia can be contacted via phone (813) 689-7571.Contact Information
Primary practice address
11260 Sullivan St
Riverview FL 33578-2140
Phone: (813) 689-7571
Fax: (813) 654-8129
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | ME112523 | Florida |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME112523 | Florida |
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 2009010652 | Missouri |
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 0433754 | Kansas |
Profile Details
NPI number | 1518092071 |
---|---|
LBN Legal business name | Mccrave, Carla Cecilia |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2007 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518092071 | NPPES |
Florida | MEDICAID | 007647900 |
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