Individual
MR. MICHAEL J CRONYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2415 N ORANGE AVE, SUITE 502, ORLANDO, FL 32804-5505
(407) 303-2508
(407) 303-2801
Mailing address
2415 N ORANGE AVE, SUITE 502, ORLANDO, FL 32804-5505
(407) 303-2580
(407) 303-2801
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290288500
—
FL
01
—
970027350
RAILROAD MEDICARE
—
Enumeration date
06/21/2006
Last updated
05/16/2012
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