Individual
SHAKITA CRICHLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2450 N ORANGE BLOSSOM TRL, KISSIMMEE, FL 34744-2316
(407) 846-4343
Mailing address
HSC LEVEL 4 RM 080, STONY BROOK MEDICINE DEPARTMENT OF EMERGENCY MEDICINE, STONY BROOK, NY 11794-8350
(631) 444-3880
(631) 444-3919
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME139641
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2016
Last updated
05/29/2019
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