Provider Demographics
NPI:1225460371
Name:CRANE, ASHLEY M (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:M
Last Name:CRANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 W SAINT ISABEL ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6319
Mailing Address - Country:US
Mailing Address - Phone:813-879-5795
Mailing Address - Fax:813-877-4578
Practice Address - Street 1:2705 W SAINT ISABEL ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6319
Practice Address - Country:US
Practice Address - Phone:813-879-5795
Practice Address - Fax:813-877-4578
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME131443207W00000X
FL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLTRN 18635OtherTRN LICENSE