Individual
MR. CLARENCE EDWARD CROWE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1705 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3001
(863) 853-1833
Mailing address
5640 N GALLOWAY RD, LAKELAND, FL 33810-2704
(863) 581-5833
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PRO60, ORF 16
FL
Other
Enumeration date
06/07/2009
Last updated
06/23/2009
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