Individual
CRAIG RICK TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5901 SW 87TH ST, SOUTH MIAMI, FL 33143-8153
(305) 668-9877
Mailing address
5901 SW 87TH ST, MIAMI, FL 33143-8153
(305) 668-9877
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0061165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25586
BCBS
FL
Enumeration date
03/29/2006
Last updated
07/09/2007
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