Individual
DR. CHAUNCEY WARREN CRANDALL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 UNIVERSITY BLVD, SUITE-200, JUPITER, FL 33458
(561) 627-2210
(561) 627-5850
Mailing address
600 UNIVERSITY BLVD, SUITE-200, JUPITER, FL 33458
(561) 627-2210
(561) 627-5850
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME64798
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME64798
FL
Other
Enumeration date
07/11/2006
Last updated
08/03/2011
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