Individual
JULIE D CRISPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(772) 398-3770
Mailing address
30 E HIGH POINT RD, STUART, FL 34996-7002
(772) 219-2502
(772) 220-2687
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME62172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378824500
—
FL
Enumeration date
05/20/2006
Last updated
08/08/2009
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