Crumley, Benjamin Roland

Crumley, Benjamin Roland is an individual health care provider with primary practice located at 1222 S Orange Ave , Orlando FL 32806-1215. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Crumley, Benjamin Roland can be contacted via phone (321) 841-7700.

Contact Information

Primary practice address
1222 S Orange Ave Orlando FL 32806-1215
Phone: (321) 841-7700
Fax: (321) 841-7799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9106161 Florida

Profile Details

NPI number 1891934154
LBN Legal business name Crumley, Benjamin Roland
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2009
Last updated Nov 15th, 2016 - about 10 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 1891934154 NPPES
Florida Other PA9106161 MEDICAL LICENSE
Florida MEDICAID 014837200 MEDICAL LICENSE

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