Craddock, Margaret

Craddock, Margaret is an individual health care provider with primary practice located at 345 Clyde Morris Blvd Ste 490 , Ormond Beach FL 32174-3114. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Craddock, Margaret can be contacted via phone (386) 672-3933.

Contact Information

Primary practice address
345 Clyde Morris Blvd Ste 490 Ormond Beach FL 32174-3114
Phone: (386) 672-3933
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 9265443 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9265443 Florida

Profile Details

NPI number 1154712941
LBN Legal business name Craddock, Margaret
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2015
Last updated Sep 23rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154712941 NPPES
Florida MEDICAID 110834400

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