Organization
JEROME CRAFT MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME CRAFT MD PA (OWNER PRESIDENT)
(561) 626-9021
Entity
Organization
Contact information
Practice address
8983 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33411-5115
(561) 626-9021
(561) 626-7593
Mailing address
8983 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33411-5115
(561) 626-9021
(561) 626-7593
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0010445
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50407
BCBS
FL
Enumeration date
01/17/2007
Last updated
08/22/2020
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