Individual
DR. DANIELLE VENEGONIA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6841 BLANDING BLVD, JACKSONVILLE, FL 32244-4418
(904) 862-2175
Mailing address
1600 E GUDE DR, SUITE 200, ROCKVILLE, MD 20850-1341
(301) 933-7133
(301) 933-7137
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
01534
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO4012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2353105 00
—
MD
Enumeration date
06/30/2011
Last updated
03/01/2019
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