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Individual

ANGELA CRAFTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4100
(386) 425-7522
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4100
(386) 425-7522

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114052
FL
363AM0700X
Medical Physician Assistant
OA005045
PA

Other

Enumeration date
11/15/2019
Last updated
08/11/2021
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