DR. JUAN VINCENT CRESPO (NPI# 1609824879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609824879 |
| Entity Type | Individual |
| Full Name | DR. JUAN VINCENT CRESPO |
| Credential | M.D. |
| Practice Address |
2415 Se 17th St Ocala FL 34471-2618 |
| Mailing Address |
2405 Se 17th St Ocala FL 34471-9192 |
| Practice Telephone | 3527325365 |
| Practice Fax Number | 3527325372 |
| Mailing Telephone | 3527325365 |
| Mailing Fax Number | 3527325372 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2010-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME82512 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 95829 | 01 |
| FL | 278235900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083769574 | Juan Manuel Crespo | General Practice | Centro Comercial Jardines, Carr 164 Km 7.7, Naranjito, PR 00719-3009 | 2007-01-24 |
| Street Address |
2415 SE 17TH ST |
| City | OCALA |
| State | FL |
| Zip Code | 34471-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760461974 | Sidney Ernest Clevinger | Family Medicine | 2415 Se 17th St, Ocala, FL 34471-2618 | 2006-01-16 |
| 1518424498 | Yarelis Gomez | Nurse Practitioner | 2415 Se 17th St, Ocala, FL 34471-2618 | 2019-02-27 |
| 1104287457 | Jillian E Russell | Nurse Practitioner | 2415 Se 17th St, Ocala, FL 34471-2618 | 2016-03-15 |
| 1306232285 | Todd Walter Eichelberger | Family Medicine | 2415 Se 17th St, Ocala, FL 34471-2618 | 2015-04-08 |
| 1720398456 | Ocala Health Primary Care LLC | Family Medicine | 2415 Se 17th St, Ocala, FL 34471-2618 | 2010-10-15 |
| 1225224868 | Charlene E Jalovi | Physician Assistant | 2415 Se 17th St, Ocala, FL 34471-2618 | 2007-09-18 |
| 1942317276 | Mark Lewis Patterson | Family Medicine | 2415 Se 17th St, Ocala, FL 34471-2618 | 2006-08-24 |
| 1588699672 | Ruth E. Brouwer | Physician Assistant | 2415 Se 17th St, Ocala, FL 34471-2618 | 2006-07-11 |
| 1497797344 | Myra D Downing-sherman | Nurse Practitioner | 2415 Se 17th St, Ocala, FL 34471-2618 | 2006-06-12 |
| 1750346284 | Linda A Stem | Nurse Practitioner | 2415 Se 17th St, Ocala, FL 34471-2618 | 2006-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385383 | Samer Faragalla | Pharmacist | 2600 Sw 19th Ave Rd, Ocala, FL 34471 | 2020-10-31 |
| 1336789684 | Anthony Smith | Behavior Technician | 2102 Sw 20th Place Ste 302, Ocala, FL 34471 | 2020-01-14 |
| 1871136788 | Toni Trask | Counselor | 300 Se Sanchez Ave, Ocala, FL 34471 | 2019-10-23 |
| 1538701354 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1315 Se 25th Loop #102, Ocala, FL 34471 | 2019-10-14 |
| 1730666355 | Next Pt Group Florida, LLC | Occupational Therapist | 1661 Se 31st St Unit 3, Ocala, FL 34471 | 2018-07-26 |
| 1902397680 | Aidan Thurian Charles | Student in an Organized Health Care Education/Training Program | 1431 Sw First Avenue, Ocalu, FL 34471 | 2018-05-29 |
| 1871084426 | Infectious Diseases Specialty Associates Pllc | Internal Medicine | 150 Se 17th St Ste 801, Ocala, FL 34471 | 2018-05-18 |
| 1528560950 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 2400 Sw College Rd., Suite 202, Ocala, FL 34471 | 2018-03-01 |
| 1518469071 | Jordan Griffis | Nurse Practitioner | 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 | 2018-03-01 |
| 1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
| Find all providers in zip 34471 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275146524 | Tarah Thevenot | Family Medicine | 4238 Ne 29th Pl, Ocala, FL 34470-3366 | 2020-08-26 |
| 1861001414 | Primary Medical Services | Family Medicine | 1007 E Fort King St, Ocala, FL 34471-2315 | 2020-07-29 |
| 1437797701 | Anne Marie Pratt | Family Medicine | 3882 Sw 133rd Loop, Ocala, FL 34473-7997 | 2019-12-17 |
| 1427692599 | Amber Lynn Werner | Family Medicine | 3700 Nw 111th Pl, Ocala, FL 34482-1480 | 2019-11-01 |
| 1346723137 | Alina Health Foundation Inc. | Family Medicine | 1815 Ne Jacksonville Rd Ste B, Ocala, FL 34470-4141 | 2018-09-08 |
| 1316432206 | The Orthopaedic Institute, Pa | Family Medicine | 4600 Sw 46th Ct Ste 210, Ocala, FL 34474-5786 | 2018-06-25 |
| 1235642521 | Frank Matthew Lowe | Family Medicine | 6854 Se 11th Pl, Ocala, FL 34472-0807 | 2017-11-09 |
| 1871010744 | Primary Care Solutions, Inc | Family Medicine | 8620 Sw 103rd Street Rd, Ocala, FL 34481-7705 | 2017-08-23 |
| 1194179879 | Dr Jays Urgent Care LLC | Family Medicine | 2018 E Silver Springs Blvd, Ocala, FL 34470-6917 | 2016-04-19 |
| 1023478880 | Tamara Lopez Diaz | Family Medicine | 13795 Sw 36th Avenue Rd Ste 4, Ocala, FL 34473 | 2016-03-07 |
| Find all providers in OCALA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.