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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477527554 | NPPES |
| Florida | MEDICAID | 048126200 |
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