Travis, Craig Rick

Travis, Craig Rick is an individual health care provider with primary practice located at 5901 Sw 87Th St , South Miami FL 33143-8153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Travis, Craig Rick can be contacted via phone (305) 668-9877.

Contact Information

Primary practice address
5901 Sw 87Th St South Miami FL 33143-8153
Phone: (305) 668-9877
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME0061165 Florida

Profile Details

NPI number 1053372250
LBN Legal business name Travis, Craig Rick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 9th, 2007 - about 19 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 1053372250 NPPES
Florida Other 25586 BCBS

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