CREW COMMUNITY HEALTH, INC


Address: 8601 Commodity Circle, Orlando, FL 32819
Phone: 4076052253

CREW COMMUNITY HEALTH, INC (NPI# 1093356842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093356842
Entity Type Organization
Organization Name CREW COMMUNITY HEALTH, INC
Practice Address 8601 Commodity Circle
Orlando
FL 32819
Practice Telephone 4076052253
Practice Fax Number 8557503960
Mailing Telephone 4076052253
Mailing Fax Number 8557503960
Enumeration Date 2019-10-03
Last Update Date 2020-11-04
Authorized Official Name MR. CHAD STOWERS (CEO)
Authorized Official Telephone 4076052253
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RI0200X Internal Medicine
Specialization: Infectious Disease
Allopathic & Osteopathic Physicians
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 100194600 05

Office Location

Street Address 8601 COMMODITY CIRCLE
City ORLANDO
State FL
Zip Code 32819

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1871003442 Sabeen Hasni Pharmacist 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 2017-10-09
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1215483565 Krista Richardson Physical Therapist 9102 Universal Blvd., Orlando, FL 32819 2016-08-28
1841646536 Kiara Serrano Social Worker 7509 Pinemount Dr, Orlando, FL 32819 2016-05-11
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1932589462 Krista Jean Cain Counselor 7758 Wallace Rd Ste Vi, Orlando, FL 32819 2015-05-29
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1134620792 Lotus Family Health LLC Clinic/Center 1803 Park Center Dr Ste 111, Orlando, FL 32835-6216 2018-02-27
1487190609 Bones Medical Group Clinic/Center 8288 Lee Vista Blvd Ste A, Orlando, FL 32829-8071 2017-01-11
1568833093 Advantage Medical Group LLC Clinic/Center 1111-b S Semoran Blvd, Orlando, FL 32807-1480 2015-10-09
1497168173 Doctors At Home Tri County Clinic/Center 11954 Narcoossee Rd Ste 2 #504, Orlando, FL 32832-6998 2014-06-10
1700209400 Orange Ave Consulting Clinic/Center 2106 N Orange Ave, Orlando, FL 32804-5535 2014-01-31
1750621538 Florida Family Physicians Clinic/Center 2840 N Hiawassee Rd, Suite 428, Orlando, FL 32818-3319 2013-02-15
1629322755 Growing Together Pediatrics, LLC Clinic/Center 5164 S. Conway Rd, Orlando, FL 32819-1252 2012-10-26
1558622068 Gutteridge Jeancharles, Md, Pa Clinic/Center 6388 Silver Star Rd Ste 2h, Orlando, FL 32818-3235 2012-05-31
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Competitor

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City ORLANDO
Zip Code 32819

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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