Individual
MARSHALL WAYNE CRUM II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
Mailing address
4109 SINGING MOCKINGBIRD BLVD, BARTOW, FL 33830-3075
(863) 602-9173
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
202018
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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