Individual
DR. VINCENT G CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1735 BRANDON TRACE AVE, BRANDON, FL 33510-2027
(813) 416-0207
(813) 881-9118
Mailing address
1735 BRANDON TRACE AVE, BRANDON, FL 33510-2027
(813) 416-0207
(813) 881-9118
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2083
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340200200
—
FL
Enumeration date
02/27/2006
Last updated
08/11/2009
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