Crawley, Gary Lee
Crawley, Gary Lee is an individual health care provider with primary practice located at 15311 Cortez Blvd , Brooksville FL 34613-6005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Crawley, Gary Lee can be contacted via phone (352) 540-9335.Contact Information
Primary practice address
15311 Cortez Blvd
Brooksville FL 34613-6005
Phone: (352) 540-9335
Fax: (352) 544-0722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME 88269 | Florida |
Profile Details
| NPI number | 1407855851 |
|---|---|
| LBN Legal business name | Crawley, Gary Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jun 2nd, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407855851 | NPPES |
| Florida | MEDICAID | 001444700 | |
| Florida | MEDICAID | 269289900 |
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