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Individual

DR. ERIC JOSEPH CRALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4953 VAN DYKE RD, LUTZ, FL 33558-4813
(813) 321-1783
(877) 992-2302
Mailing address
4953 VAN DYKE RD, LUTZ, FL 33558
(133) 211-7838
(877) 992-2302

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME69527
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080115587
RAILROAD MEDICARE NUMBER
FL
05
257348200
FL
Enumeration date
05/17/2006
Last updated
08/08/2022
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