Organization
BLANE CRANDALL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLANE MILTON CRANDALL MD (OWNER)
(239) 596-2300
Entity
Organization
Contact information
Practice address
1660 MEDICAL BLVD, SUITE 101, NAPLES, FL 34110-1413
(239) 596-2300
(239) 596-2301
Mailing address
1660 MEDICAL BLVD, SUITE 101, NAPLES, FL 34110-1415
(239) 596-2300
(239) 596-2301
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0034911
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05402
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/30/2012
Last updated
03/30/2012
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