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Individual

VALERIE JEAN CRANDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4101 EVANS AVE, FORT MYERS, FL 33901-9310
(941) 792-2020
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME34980
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
067150900
FL
Enumeration date
07/07/2005
Last updated
04/20/2026
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