Individual
MICHELLE L MCCRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
413 CALIFORNIA AVE, STUART, FL 34994-2917
(772) 288-3095
Mailing address
413 CALIFORNIA AVE, STUART, FL 34994-2917
(772) 288-3095
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA0004514
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5498
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/20/2007
Last updated
09/20/2007
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