Individual
MARK SAMUEL CRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 CELEBRATION PL, SUITE A-310, CELEBRATION, FL 34747-4970
(407) 566-2229
(407) 566-2499
Mailing address
400 CELEBRATION PL, SUITE A-310, CELEBRATION, FL 34747-4970
(407) 566-2229
(407) 566-2499
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME90456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270223100
—
FL
Enumeration date
06/30/2005
Last updated
01/22/2014
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