Individual
MS. OCTAVIA G. CROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4024 CENTRAL AVE, ST PETERSBURG, FL 33711-1239
(727) 327-7656
(727) 322-2110
Mailing address
PO BOX 10970, ST PETERSBURG, FL 33733-0970
(727) 327-7656
(727) 322-2110
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5236171
FL
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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