Individual
DR. EARL JAY CROSSWRIGHT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
841 W MALLORY ST, PENSACOLA, FL 32501-6321
(850) 332-6704
(888) 793-0432
Mailing address
841 W MALLORY ST, PENSACOLA, FL 32501-6321
(850) 332-6704
(888) 793-0432
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0063345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116621900
—
FL
01
—
18356
BLUE CROSS BLUE SHIELD
FL
01
—
P00405780
MEDICARE RAILROAD
FL
Enumeration date
10/18/2005
Last updated
04/24/2024
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