Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | ME98321 | FL |
NPI | 1053533653 |
---|---|
Provider Name | Christopher M Craft |
First Address | Miami, FL 33176-2299 |
Second Address | Miami, FL 33176-2299 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 18/07/2007 |