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Individual

DR. CRAIG FISHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
640 S LAKE ST, LEESBURG, FL 34748-5927
(352) 360-2301
(352) 315-7631
Mailing address
640 S LAKE ST, LEESBURG, FL 34748-5927
(352) 360-2301
(352) 315-7631

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0070736
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180025336
RAILROAD MEDICARE
FL
05
250513400
FL
01
31954
BCBS
Enumeration date
06/30/2006
Last updated
04/07/2017
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