Provider Demographics
NPI:1316007776
Name:CRANE, REBECCA L (MD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:L
Last Name:CRANE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5200 TAMIAMI TRL N
Mailing Address - Street 2:201
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-2817
Mailing Address - Country:US
Mailing Address - Phone:239-263-6766
Mailing Address - Fax:239-263-3320
Practice Address - Street 1:5200 TAMIAMI TRL N
Practice Address - Street 2:201
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-2817
Practice Address - Country:US
Practice Address - Phone:239-263-6766
Practice Address - Fax:239-263-3320
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0057585208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL052916800Medicaid
FL052916800Medicaid
10879Medicare ID - Type Unspecified