Individual
DR. STEVEN M CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 SAN MARCO BLVD STE 200, JACKSONVILLE, FL 32207-8566
(904) 346-3465
(904) 399-1537
Mailing address
PO BOX 117345, ATLANTA, GA 30368-7345
(904) 346-3465
(904) 858-6489
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME73375
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME73375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200029233
RAILROAD MEDICARE
FL
05
—
253542400
—
FL
Enumeration date
06/01/2005
Last updated
03/25/2021
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