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JEROME CRAFT MD PA NPI 1225180805


NPI Information

NPI: 1225180805
Provider Name: JEROME CRAFT MD PA
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
8983 OKEECHOBEE BLVD
WEST PALM BEACH, FL
ZIP 33411
Phone: (561) 626-9021
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JEROME CRAFT MD PA is a general practice in West Palm Beach, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee JEROME CRAFT MD PA NPI is 1225180805. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8983 OKEECHOBEE BLVD
WEST PALM BEACH, FL
ZIP 33411-115
Phone: (561) 626-9021
Fax: (561) 626-7593

The provider's authorized official is Jerome Craft .
The authorized official title is Owner President and has the following contact phone number (561) 626-9021.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeME0010445FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
150407OTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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