Provider Demographics
NPI:1477531671
Name:CRONIN, KEVIN F (SF-IDC)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:F
Last Name:CRONIN
Suffix:
Gender:M
Credentials:SF-IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 8TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-5030
Mailing Address - Country:US
Mailing Address - Phone:727-502-1586
Mailing Address - Fax:727-502-1593
Practice Address - Street 1:600 8TH AVE SE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:USA
Practice Address - Zip Code:33701
Practice Address - Country:UM
Practice Address - Phone:727-502-1586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman