Crouch & Dunn MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0045774 Issued in FL

Legal business name

CROUCH & DUNN MD LLC

Practice address

155 S Halifax Ave
Daytona Beach, FL 32118-4481

Phone

(386) 238-7408

Fax

(386) 253-5518

NPI assigned

Mar 4, 2008

Last updated

Mar 4, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susie C Swain

Title

Office Manager

Phone

(386) 238-7408

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1174793376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S HALIFAX AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184481",
            "telephone_number": "386-238-7408",
            "fax_number": "386-253-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S HALIFAX AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184481",
            "telephone_number": "386-238-7408",
            "fax_number": "386-253-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROUCH & DUNN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "SWAIN",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-238-7408"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0045774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Criscio, R.PH
• Jason Lee Crist
• Rebekah Cross
• Alexandra Crossman, MD
• Margaret Crossman, MD
• Eugene Marion Crouch, M.D.
• Julie Crouch
• Sandra E Crow, LPN
• Desirae Anne Crowell
• Kristin Crumbley, LMHC, LMFT

• Family Medicine Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.