# BEN M CROWDER MDPA

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

## Provider details

- **NPI number:** 1750604906
- **Authorized official:** DR. BEN M CROWDER M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (863) 299-1161

## Contact information

- **Practice address:** 400 E CENTRAL AVE, WINTER HAVEN, FL 33880-3050
- **Practice address phone:** (863) 299-1161
- **Practice address fax:** (863) 299-8677
- **Mailing address:** 400 E CENTRAL AVE, WINTER HAVEN, FL 33880-3050
- **Mailing address phone:** (863) 299-1161
- **Mailing address fax:** (863) 299-8677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME0011636 | FL | Yes |

## Other

- **Enumeration date:** 03/02/2010
- **Last updated:** 02/14/2014
