Organization
ISRAEL CRESPO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA ROSARIO (MANAGER)
(813) 997-0071
Entity
Organization
Contact information
Practice address
6919 N DALE MABRY HWY, SUITE 320, TAMPA, FL 33614-3972
(813) 930-8816
(813) 932-1856
Mailing address
6919 N DALE MABRY HWY STE 250, TAMPA, FL 33614-3860
(813) 930-8816
(813) 932-1856
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME67924
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377776600
—
FL
Enumeration date
02/28/2008
Last updated
08/02/2022
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