# JEROME CRAFT MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225180805
- **Authorized official:** JEROME CRAFT MD PA (OWNER PRESIDENT)
- **Authorized official phone:** (561) 626-9021

## Contact information

- **Practice address:** 8983 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33411-5115
- **Practice address phone:** (561) 626-9021
- **Practice address fax:** (561) 626-7593
- **Mailing address:** 8983 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33411-5115
- **Mailing address phone:** (561) 626-9021
- **Mailing address fax:** (561) 626-7593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME0010445 | FL | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 50407 | BCBS | FL |