Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | ME103099 | FL |
NPI | 1063663573 |
---|---|
Provider Name | Dr. Megan F Crider |
First Address | Orlando, FL 32809-3051 |
Second Address | Orlando, FL 32806-1110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2008 |
Last Update Date | 20/12/2011 |