Individual
DR. WILLIAM F CROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5550 S US HIGHWAY 1, FORT PIERCE, FL 34982-8701
(772) 293-0377
(772) 293-0388
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME85470
FL
2085R0001X
Radiation Oncology Physician
Primary
ME85470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1249230
WELLCARE
FL
05
—
269679700
—
FL
01
—
293711
AVMED
FL
01
—
44019
BLUE CROSS
FL
01
—
7334566
AETNA
FL
01
—
9402002
CIGNA
FL
01
—
P01572573
RR MEDICARE
FL
01
—
P106120
FREEDOM
FL
01
—
P509207
OPTIMUM
FL
Enumeration date
11/21/2005
Last updated
10/20/2016
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