Provider Demographics
NPI:1891973251
Name:WILLIAM B CRAWFORD DPM
Entity Type:Organization
Organization Name:WILLIAM B CRAWFORD DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:352-351-4444
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO1057213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3978220001Medicare NSC
FLT95163Medicare UPIN
FL87643Medicare PIN