Organization
JAY CRUMP OD PA
Active
Other names
FLORIDA EYE CARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARNELL JAY CRUMP JR. OD (PRESIDENT)
(941) 794-1333
Entity
Organization
Contact information
Practice address
5306 CORTEZ RD W, STE 3, BRADENTON, FL 34210-2821
(941) 794-1333
(941) 794-5640
Mailing address
5306 CORTEZ RD W, STE 3, BRADENTON, FL 34210-2821
(941) 794-1333
(941) 794-5640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2343
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084786100
—
FL
Enumeration date
08/24/2006
Last updated
10/22/2015
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