Individual
MR. ELMER ELSWORTH CROUSHORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4645 NW 8TH AVE, GAINESVILLE, FL 32605-4524
(352) 375-1212
(352) 371-4650
Mailing address
4645 NW 8TH AVE, GAINESVILLE, FL 32605-4524
(352) 375-1212
(352) 371-4650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME0058091
FL
2086S0129X
Vascular Surgery Physician
Primary
ME58091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063704100
—
FL
01
—
10824
BCBS
FL
Enumeration date
04/11/2006
Last updated
09/09/2016
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