V C Podiatry Pa | |
1735 Brandon Trace Ave, Brandon, FL 33510-2027 | |
(813) 881-9118 | |
Not Available |
Full Name | V C Podiatry Pa |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 1735 Brandon Trace Ave, Brandon, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841378981 | NPI | - | NPPES |
340200200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | PO2083 (Florida) | Primary |
Provider Name | Vincent G Crump |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1629044870 PECOS PAC ID: 8224935465 Enrollment ID: I20031216000844 |
Mailing Address | Practice Location Address |
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V C Podiatry Pa 1735 Brandon Trace Ave, Brandon, FL 33510-2027 Ph: (813) 881-9118 | V C Podiatry Pa 1735 Brandon Trace Ave, Brandon, FL 33510-2027 Ph: (813) 881-9118 |
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