Search › Florida › 122300000X
Everett Crouch, D.D.S
NPI 1417237363 · on the registry since 2011 · sole proprietor
Practice
- Address
- 6073 San Jose Blvd, West
Jacksonville, FL 32217 - Phone
- (904) 737-2111
- Fax
- (907) 737-2207
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-08-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida