Individual
JON MILES CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5768 S SEMORAN BLVD, ORLANDO, FL 32822-4818
(407) 896-2323
Mailing address
1465 ARBITUS CIR, OVIEDO, FL 32765-8050
(772) 418-5427
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123002400
—
FL
01
—
CBHCMS.0102715
CERTIFICATION
FL
Enumeration date
07/18/2019
Last updated
09/26/2025
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