JEROME CRAFT MD PA (NPI# 1225180805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225180805 |
| Entity Type | Organization |
| Organization Name | JEROME CRAFT MD PA |
| Practice Address |
8983 Okeechobee Blvd West Palm Beach FL 33411-5115 |
| Practice Telephone | 5616269021 |
| Practice Fax Number | 5616267593 |
| Mailing Telephone | 5616269021 |
| Mailing Fax Number | 5616267593 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JEROME CRAFT (OWNER PRESIDENT) |
| Authorized Official Telephone | 5616269021 |
| Authorized Official Credential | MD PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME0010445 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 50407 | 01 |
| Street Address |
8983 OKEECHOBEE BLVD |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33411-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840998 | Katy Tusing | Physical Therapy Assistant | 8983 Okeechobee Blvd, Ste 208, West Palm Beach, FL 33411-5145 | 2020-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343129 | Ashley Nicole Zarmanian | Counselor | 1779 Palisades Drive, West Palm Beach, FL 33411 | 2020-07-07 |
| 1487110995 | Everglades College Inc | Chiropractor | 2085 Vista Parkway, West Palm Beach, FL 33411 | 2019-02-20 |
| 1538625652 | Amanda Marie Tropea | Behavior Technician | 2054 Vista Park Way Suite #400, West Palm Beach, FL 33411 | 2019-02-13 |
| 1528554516 | Michael Ryan Moraguez | Dentist | 11358 Okeechobee Blvd Ste 1, Royal Palm Beach, FL 33411 | 2018-07-02 |
| 1184124505 | Abd Medical Surgical & Home Care Equipments, Inc | Durable Medical Equipment & Medical Supplies | 10349 Southern Blvd, Royal Palm Beach, FL 33411 | 2018-02-13 |
| 1336668987 | Belinda Brooks-josephs | Registered Nurse | 11407 Blue Violet Lane, Royal Palm Beach, FL 33411 | 2017-09-14 |
| 1699293183 | Lisa Camille Watson | Psychologist | 7750 Okeechobee Boulevard, Suite 4-9-19, West Palm Beach, FL 33411 | 2017-09-05 |
| 1174044515 | Sherisa Harris | Licensed Practical Nurse | 260 Crestwood Circle, Unit 104, Royal Palm Beach, FL 33411 | 2017-07-06 |
| 1134659758 | Gerry B Alondra | Behavior Technician | 103 Banyan Lane, West Palm Beach, FL 33411 | 2017-06-15 |
| 1356871313 | Maylin Ojeda | Behavior Technician | 13397 55th Rd N, West Palm Beach, FL 33411 | 2017-06-13 |
| Find all providers in zip 33411 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835259 | Myemcdoc LLC | General Practice | 931 Village Blvd Ste 135, West Palm Beach, FL 33409-1803 | 2020-06-12 |
| 1811473432 | My Visiting Provider | General Practice | 100 Century Blvd Ste 201, West Palm Beach, FL 33417 | 2018-07-17 |
| 1508376450 | Apex Health Wellington LLC | General Practice | 1411 N Flagler Dr Ste 7600, West Palm Beach, FL 33401-3419 | 2017-10-05 |
| 1295276715 | George Woy | General Practice | 2573 Irma Lake Dr, West Palm Beach, FL 33411-5734 | 2017-03-16 |
| 1457897290 | Gary Jay Dellerson | General Practice | 2402 Embassy Dr, West Palm Beach, FL 33401-1013 | 2017-01-18 |
| 1871955005 | Alexander Khrestian | General Practice | 1002 Green Pine Blvd Apt E1, West Palm Beach, FL 33409-7011 | 2016-03-26 |
| 1598081416 | Jennifer Lee Guthrie | General Practice | 224 Datura St Ste 315, West Palm Beach, FL 33401-5631 | 2010-04-16 |
| 1093030835 | Rx for Health | General Practice | 1964 S Congress Ave, West Palm Beach, FL 33406-6674 | 2010-04-05 |
| 1831412154 | Center Point Medical LLC | General Practice | 13420 Doubletree Circle, West Palm Beach, FL 33414 | 2010-03-02 |
| 1437399730 | Wilbert R. Del Valle Rivera | General Practice | 2001 Palm Beach Lakes Blvd Ste 400, West Palm Beach, FL 33409-6516 | 2009-02-26 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33411 |
Please comment or provide details below to improve the information on JEROME CRAFT MD PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.