Provider Demographics
NPI:1003039868
Name:CRESCIMANO AND PINTAURO
Entity Type:Organization
Organization Name:CRESCIMANO AND PINTAURO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CRESCIMANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-491-0030
Mailing Address - Street 1:5601 N DIXIE HWY
Mailing Address - Street 2:SUITE 320
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-4148
Mailing Address - Country:US
Mailing Address - Phone:954-491-0030
Mailing Address - Fax:
Practice Address - Street 1:5601 N DIXIE HWY
Practice Address - Street 2:SUITE 320
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-4148
Practice Address - Country:US
Practice Address - Phone:954-491-0030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0031471208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL40401Medicare ID - Type UnspecifiedGROUP NUMBER