Individual
DESTINY WILLIAMS CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7000
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
PA9118504
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122610700
—
FL
01
—
BVE32
BCBS
FL
Enumeration date
04/15/2024
Last updated
07/30/2024
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