Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME98118 | FL |
NPI | 1124059332 |
---|---|
Provider Name | Dr. Geoffrey Alan Cronen |
First Address | Zephyrhills, FL 33542-7505 |
Second Address | Tampa, FL 33613-2709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 30/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
277912900 | (05) | FL |
P00444751 | RR MEDICARE (01) | FL |