Pruitt, John Crayton

Pruitt, John Crayton is an individual health care provider with primary practice located at 3003 W. Dr. Martin Luther King Jr. Blvd. Mab, 2Nd Floor, Tampa FL 33607-6307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Pruitt, John Crayton can be contacted via phone (813) 321-6580.

Contact Information

Primary practice address
3003 W. Dr. Martin Luther King Jr. Blvd. Mab, 2Nd Floor Tampa FL 33607-6307
Phone: (813) 321-6580
Fax: (813) 321-6581
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME51980 Florida

Profile Details

NPI number 1477527554
LBN Legal business name Pruitt, John Crayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Nov 23rd, 2010 - about 16 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 1477527554 NPPES
Florida MEDICAID 048126200

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