Organization
CAROLE J CRANE PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLE J CRANE PHD (PRESIDENT)
(904) 264-7099
Entity
Organization
Contact information
Practice address
1680 SMITH ST, SUITE 1, ORANGE PARK, FL 32073-4852
(904) 264-7099
Mailing address
1680 SMITH ST, SUITE 1, ORANGE PARK, FL 32073-4852
(904) 264-7099
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PY00002130
FL
Other
Enumeration date
04/23/2010
Last updated
10/29/2013
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