Makenzi Crouse is a Surgical in Fort Myers, Florida. Makenzi Crouse practices all healthcare services and medical treatments related to Surgical. The NPI Number for Makenzi Crouse is 1558542092. The last update date is 2023-09-18.
Makenzi Crouse's current location address is 14601 Hope Center Loop, Fort Myers, Florida. You can contact this provider via phone number 2393347000 and fax number 2393347070. The mailing address for Makenzi Crouse is 14601 Hope Center Loop, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Makenzi Crouse |
|---|---|
| Address | 14601 Hope Center Loop, Fort Myers, Florida |
| Phone Number | 2393347000 |
| Fax Number | 2393347070 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1558542092 |
|---|---|
| Provider Enumeration Date | 2007-11-26 |
| Last Updated Date | 2023-09-18 |
Provider Mailing Address Detail
| Address | 14601 Hope Center Loop |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339124707 |
| Phone Number | 2393347000 |
| Fax Number | 2393347070 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA9104421 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00746161 | FL | RR MEDICARE | |
| 292951100 | FL | -- | |
| PA9104421 | FL | STATE LICENSE |
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What is the unique 10-digit identification code issued to Makenzi Crouse by the Centers for Medicare & Medicaid Services?
The Makenzi Crouse has been assigned the NPI (National Provider Identifier) 1558542092 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Makenzi Crouse?
The Makenzi Crouse is situated at 14601 Hope Center Loop, in the city of Fort Myers, state of FL, with the zip code 339124707.
What is Makenzi Crouse's specialized field of practice, and what is the corresponding taxonomy classification code?
The Makenzi Crouse's area of specialization is Surgical, and the corresponding taxonomy code that categorizes this field of practice is 363As0400X.
On what date did the Makenzi Crouse receive the assignment of its 1558542092 from the Centers for Medicare & Medicaid Services?
The Makenzi Crouse was issued its 1558542092 by the Centers for Medicare & Medicaid Services on 2007-11-26.
As of what date were the Makenzi Crouse's details last updated?
The information pertaining to the Makenzi Crouse, including its address, specialty, and other details, was most recently updated on 2023-09-18.