Individual
JEFFREY WYATT CROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4250 HOSPITAL DR, MARIANNA, FL 32446-1917
(850) 526-2200
(850) 718-2844
Mailing address
1405 CENTERVILLE RD, SUITE 4400, TALLAHASSEE, FL 32308-4655
(850) 877-6212
(850) 878-4034
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0043049
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0402681-00
—
FL
05
—
129592600
—
FL
Enumeration date
09/01/2006
Last updated
01/12/2026
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