Individual
EDWARD FRANCIS CROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDMS, RDCS, RVT
Contact information
Practice address
1801 SE HILLMOOR DR, SUITE C-207, PORT ST LUCIE, FL 34952-7553
(678) 994-5407
Mailing address
1801 SE HILLMOOR DR, SUITE C-207, PORT ST LUCIE, FL 34952-7553
(678) 994-5407
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
42861
MD
2471S1302X
Sonography Radiologic Technologist
42861
MD
2471V0105X
Vascular Sonography Radiologic Technologist
42861
MD
Other
Enumeration date
07/31/2016
Last updated
07/31/2016
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