Organization
V C PODIATRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT G. CRUMP DPM (PRESIDENT)
(813) 881-9118
Entity
Organization
Contact information
Practice address
1735 BRANDON TRACE AVE, BRANDON, FL 33510-2027
(813) 881-9118
Mailing address
1735 BRANDON TRACE AVE, BRANDON, FL 33510-2027
(813) 881-9118
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2083
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340200200
—
FL
Enumeration date
11/02/2006
Last updated
01/11/2010
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