Emmanuelle Crider
Physician Assistant in Orlando, FL. Individual provider (NPI-1).
NPI number1104730670
StatusActive
Last updated in NPPESOct 29, 2026
Details
- NPI
- 1104730670
- Entity type
- Individual (NPI-1)
- Name
- Emmanuelle Crider
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2026
- Certification date
- Oct 29, 2026
- Last updated
- Oct 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | FL | Yes |
Practice location
235 E Princeton St Ste 200Orlando, FL 32804-5555
Phone 407-303-1444
Mailing address
17806 Westbay CtWinter Garden, FL 34787-9430
Phone 407-403-0559
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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