Mark Samuel Crider in Celebration - Specialist
Mark Samuel Crider - NPI 1265439624
Mark Samuel Crider is a Specialist in Celebration, Florida. Mark Samuel Crider practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark Samuel Crider is 1265439624. The last update date is 2014-01-22.
Mark Samuel Crider's current location address is 400 Celebration Pl, Celebration, Florida. You can contact this provider via phone number 4075662229 and fax number 4075662499. The mailing address for Mark Samuel Crider is 400 Celebration Pl, Celebration, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Samuel Crider |
|---|---|
| Address | 400 Celebration Pl, Celebration, Florida |
| Phone Number | 4075662229 |
| Fax Number | 4075662499 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1265439624 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2014-01-22 |
Provider Mailing Address Detail
| Address | 400 Celebration Pl |
|---|---|
| City | Celebration |
| State | Florida (FL) |
| Post Code | 347474970 |
| Phone Number | 4075662229 |
| Fax Number | 4075662499 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME90456 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 270223100 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark Samuel Crider?
The Mark Samuel Crider has been issued the NPI (National Provider Identifier) 1265439624 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Mark Samuel Crider is located?
The Mark Samuel Crider is situated at the following address: 400 Celebration Pl, Celebration, FL, 347474970.
What is Mark Samuel Crider's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Samuel Crider is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265439624 to Mark Samuel Crider?
The Centers for Medicare & Medicaid Services originally issued the 1265439624 to Mark Samuel Crider on 2005-06-30.
As of what date was the information regarding Mark Samuel Crider, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Samuel Crider, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-01-22.
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