Individual
WILLIAM B CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5942 34TH ST W, BRADENTON, FL 34210-3683
(941) 782-4860
(941) 782-4899
Mailing address
379 6TH AVE W, BRADENTON, FL 34205-8820
(941) 782-4259
(941) 782-4101
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME63064
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377289600
—
FL
Enumeration date
09/21/2005
Last updated
11/16/2011
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