Individual
DR. JOHN M. CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
836 PRUDENTIAL DR, SUITE 1107, JACKSONVILLE, FL 32207-8338
(904) 398-0033
(904) 398-6774
Mailing address
11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME46878
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000308569AA
—
GA
01
—
14116
BCBS FL
—
05
—
274939400
—
FL
01
—
275655
AVMED
—
01
—
3100972
CIGNA
—
01
—
4128822
AETNA
—
Enumeration date
05/03/2006
Last updated
06/24/2011
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