Individual
DAVID WALTON CRASTO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
154 S COMPASS WAY, DANIA, FL 33004-2368
(954) 807-9433
(954) 807-9725
Mailing address
4030 DOGWOOD DR, JACKSON, MS 39211-6607
(601) 613-7424
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS17041
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17041
OSTEOPATHIC MEDICAL LICENSE
FL
Enumeration date
03/28/2019
Last updated
10/26/2021
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