Individual
CHANCELLOR CRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
507- N22ND STREET, TAMPA, FL 33610-4350
(813) 239-8069
Mailing address
507- N22ND STREET, TAMPA, FL 33610-4350
(813) 239-8069
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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