Individual
ANGELA CRUMPLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 NEBRASKA ST, LEESBURG, FL 34748-3778
(352) 272-3509
Mailing address
1004 NEBRASKA ST, LEESBURG, FL 34748-3778
(352) 272-3509
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
C651000855550
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4789
NON- EMERGENCY TRANSPORT
FL
Enumeration date
06/12/2018
Last updated
06/12/2018
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