Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crane Antawan Niblack, MD

Individual provider General Practice Physician · NPI 1568628139

Crane Antawan Niblack, MD is a General Practice in North Bay Village, Florida. Qualified in 2007, 19 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group and accepts Medicare assignment. Licensed in Florida and Virginia.

Years since qualifying
19
Licensed in
FL, VA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1700 79th Street Cswy Ste 120
North Bay Village, FL 33141-4197
Phone: (305) 726-2177
Fax: (305) 726-2209
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME163136 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 0101253456 (VA)

Record details

NPI number1568628139
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2008
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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