Provider Demographics
NPI:1316747561
Name:MICHAEL A. CROMER, MD - MEDICAL SERVICES, PLLC
Entity type:Organization
Organization Name:MICHAEL A. CROMER, MD - MEDICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CROMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-598-7768
Mailing Address - Street 1:4290 W LINEBAUGH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-5240
Mailing Address - Country:US
Mailing Address - Phone:813-872-8141
Mailing Address - Fax:813-378-3487
Practice Address - Street 1:4290 W LINEBAUGH AVE STE B
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-5240
Practice Address - Country:US
Practice Address - Phone:813-872-8141
Practice Address - Fax:813-378-3487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care