Individual
DR. MICHAEL J CRIMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20900 BISCAYNE BLVD, AVENTURA, FL 33180-1407
(305) 682-7000
Mailing address
PO BOX 7623, NAPLES, FL 34101-7623
(305) 712-7229
(305) 397-1139
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
ME156779
FL
2084N0400X
Neurology Physician
0101247836
VA
2084N0400X
Neurology Physician
265591-1
NY
2084N0400X
Neurology Physician
ME156779
FL
2084V0102X
Vascular Neurology Physician
ME156779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114455700
—
FL
01
—
14358220
CAQH
FL
Enumeration date
07/31/2008
Last updated
07/05/2022
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