Organization
VALERIE CRANDALL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE CRANDALL M.D. (PRESIDENT)
(239) 939-5259
Entity
Organization
Contact information
Practice address
3900 BROADWAY, SUITE 14, FORT MYERS, FL 33901-8193
(239) 939-5259
(239) 275-6178
Mailing address
3900 BROADWAY, SUITE 14, FORT MYERS, FL 33901-8193
(239) 939-5259
(239) 275-6178
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME34980
FL
Other
Enumeration date
03/15/2007
Last updated
04/02/2008
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