Shakita Crichlow, M.D.
Emergency Medicine in Kissimmee, FL. Individual provider (NPI-1).
NPI number1780032409
StatusActive
Last updated in NPPESMay 29, 2019
Details
- NPI
- 1780032409
- Entity type
- Individual (NPI-1)
- Name
- Shakita Crichlow
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2016
- Last updated
- May 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | ME139641 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2450 N Orange Blossom TrlKissimmee, FL 34744-2316
Phone 407-846-4343
Mailing address
Hsc Level 4 Rm 080Stony Brook Medicine Department Of Emergency Medicine
Stony Brook, NY 11794-8350
Phone 631-444-3880 · Fax 631-444-3919
Other practice locations
Hsc Level 4 Rm 080
Hsc Level 4 Room 080
Stony Brook, NY 11794-8350
Hsc Level 4 Room 080
Stony Brook, NY 11794-8350
Phone 631-444-3880 · Fax 631-444-3919
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