SAMUEL E CROCKETT MD
NPI 1679517171
Internal Medicine - Endocrinology, Diabetes & Metabolism in Orlando, FL

Active since June 15, 2006
2520 N ORANGE AVE, SUITE 102, ORLANDO, FL 32804(407) 303-2801(407) 303-2805 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel E Crockett Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL E CROCKETT MD (NPI 1679517171) is an individual endocrinology, diabetes & metabolism provider in Orlando, Florida, licensed in Florida (ME31027) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1679517171
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameSAMUEL E CROCKETTCredential: MD
Location Address2520 N ORANGE AVE, SUITE 102Orlando, FL 32804-4638
Mailing Address2520 N Orange Ave, Suite 102Orlando, FL 32804-4638 · (407) 303-2801 · Fax (407) 303-2805
Fax(407) 303-2805
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateAugust 17, 2007
NPI 1679517171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in FL · ME31027
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

2520 N ORANGE AVE, Orlando, FL 32804

Other Identifiers 3

Other48932FL · Bcbs
Medicare PIN48932WFL
Medicare UPIND55519

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
2520 N ORANGE AVE
ORLANDO, FL 32804
Physical Therapy Assistant
2520 N ORANGE AVE
ORLANDO, FL 32804
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2520 N ORANGE AVE, #102
ORLANDO, FL 32804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Crockett's NPI number?

The NPI number for Samuel Crockett is 1679517171. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Samuel Crockett located?

Samuel Crockett practices at 2520 N Orange Ave Suite 102, Orlando, FL 32804. The listed phone number is (407) 303-2801.

What is Samuel Crockett's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

When was this NPI record last updated?

The NPPES record for Samuel Crockett was last updated on August 17, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.