Provider Demographics
NPI:1609203835
Name:CYNTHIA S. CRAWFORD, M.D. PA
Entity Type:Organization
Organization Name:CYNTHIA S. CRAWFORD, M.D. PA
Other - Org Name:FLORIDA REHABILITATION INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-360-4306
Mailing Address - Street 1:PO BOX 411373
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32941-1373
Mailing Address - Country:US
Mailing Address - Phone:772-360-4306
Mailing Address - Fax:772-778-3321
Practice Address - Street 1:1986 35TH AVENUE
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960
Practice Address - Country:US
Practice Address - Phone:772-360-4306
Practice Address - Fax:772-778-3321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty