Most Relevant Information
Provider Data
| NPI Number: | 1003811944 |
| Provider Name: | GEORGINA R CRAGO PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | PA0002434 |
Most Important Dates
| Enumeration Date: | 06/16/2005 |
| Last Updated: | 11/21/2011 |
Provider Practice Location
13020 N TELECOM PKWY
TEMPLE TERRACE
FL
336370925
Practice Location Phone/Fax
| Phone: | 8139789700 |
| Fax: | 8139725055 |
Provider Mailing Location
13020 N TELECOM PKWY
TEMPLE TERRACE
FL
336370925
Provider Mailing Phone/Fax
| Phone: | 8139789700 |
| Fax: | 8139725055 |