Provider Demographics
NPI:1598866931
Name:CRAWFORD, WILLIAM B (DPM)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:B
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:812 NE 25TH AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-6379
Mailing Address - Country:US
Mailing Address - Phone:352-351-4444
Mailing Address - Fax:352-351-4920
Practice Address - Street 1:812 NE 25TH AVE
Practice Address - Street 2:SUITE A
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-6379
Practice Address - Country:US
Practice Address - Phone:352-351-4444
Practice Address - Fax:352-351-4920
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO0001057213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL87643Medicare PIN
FL3978220001Medicare NSC
FLT95163Medicare UPIN