Organization
FRANCIS C F DECROOS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCIS C F DECROOS M.D. (PRESIDENT)
(850) 862-4377
Entity
Organization
Contact information
Practice address
928 E MAR WALT DRIVE, SUITE 201, FORT WALTON BEACH, FL 32547-6601
(850) 862-4377
(850) 862-6015
Mailing address
928 E MAR WALT DRIVE, SUITE 201, FORT WALTON BEACH, FL 32547-6601
(850) 862-4377
(850) 862-6015
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46110
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/07/2006
Last updated
08/22/2020
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