David Walton Crasto JR.
Dermatologist
154 S Compass Way
Dania
, Florida 33004-2368
David Walton Crasto JR.
Dermatologist
154 S Compass Way
Dania
, Florida 33004-2368
(601) 613-7424
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- David Walton Crasto JR.
- 4030 Dogwood Dr
- Jackson, MS
- Zip : 39211-6607
- Phone : (601) 613-7424
Second Address
- David Walton Crasto JR.
- 154 S Compass Way
- Dania, FL
- Zip : 33004-2368
- Fax : (954) 807-9725
- Phone : (954) 807-9433
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | OS17041 | FL |
National Provider Identifier
| NPI | 1043771306 |
|---|---|
| Provider Name | David Walton Crasto JR. |
| First Address | Jackson, MS 39211-6607 |
| Second Address | Dania, FL 33004-2368 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2019 |
| Last Update Date | 26/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 17041 | OSTEOPATHIC MEDICAL LICENSE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.