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Individual
MR. ELMER ELSWORTH CROUSHORE III
Active
Individual
MR. ELMER ELSWORTH CROUSHORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME0058091
FL
2086S0129X
Vascular Surgery Physician
Primary
ME58091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063704100
—
FL
01
—
10824
BCBS
FL
Enumeration date
04/11/2006
Last updated
09/09/2016
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