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Contact Information

VINCENT G CRUMP, DPM
1735 BRANDON TRACE AVE
BRANDON, FL33510-2027
 Phone: 813-416-0207
 Fax: 813-881-9118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for VINCENT G CRUMP · (Male)

NPI Number 1629044870
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/27/2006
Last updated 08/11/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PO2083
  • FL Medicaid 340200200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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