Manuel A Crisanto (NPI# 1558330662, PAC ID# 5991719528) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1558330662 |
| PAC ID by PECOS | 5991719528 |
| Professional Enrollment ID | I20060202000523 |
| Full Name | Manuel A Crisanto |
| Address |
747 Fawn Ridge Dr Suite 200 Orange City FL 32763-8352 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100072 | FLORIDA HOSPITAL FISH MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 747 Fawn Ridge Dr, Suite 200, Orange City, FL 32763-8352 | ||
| 747 Fawn Ridge Dr, Orange City, FL 32763-8352 |
| Street Address |
747 FAWN RIDGE DR SUITE 200 |
| City | ORANGE CITY |
| State | FL |
| Zip | 32763-8352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juan Santiago | General Practice | Roy H Hinman Md Pa | 747 Fawn Ridge Dr, Suite 200, Orange City, FL 32763-8268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Simpson Sullenberger | Optometry | Coastal Eye Associates Inc. | 2400 Veterans Memorial Pkwy, Orange City, FL 32763-1700 |
| Kevin Bruce Brantley | Optometry | Coastal Eye Associates Inc. | 2400 Veterans Memorial Pkwy, Orange City, FL 32763-1700 |
| Angela Marie Moodie | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Paul Bond | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Nakesha R Miller | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Elaine L Lawless | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Sherri A Ferguson | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Mary Frances Riggins | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Traci Lynn Zimmer | Nurse Practitioner | Primary Care of Orange City LLC | 135 E Minnesota Ave, Orange City, FL 32763-2312 |
| Raymond De Castro | Psychiatry | Primary Care of Orange City LLC | 135 E Minnesota Ave, Orange City, FL 32763-2312 |
| Find all physicians in zip 32763 | |||
| City | ORANGE CITY |
| Zip Code | 32763 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ORANGE CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Manuel A Crisanto.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.