Provider Demographics
NPI:1316245616
Name:MCCRANELS, STUART WILLIAM (DC)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:WILLIAM
Last Name:MCCRANELS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1747 EVANS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-3869
Mailing Address - Country:US
Mailing Address - Phone:321-951-9222
Mailing Address - Fax:321-952-1187
Practice Address - Street 1:1747 EVANS RD STE 101
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-3869
Practice Address - Country:US
Practice Address - Phone:407-328-7595
Practice Address - Fax:386-218-5980
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-10
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLCH10196111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor