Crew, Erica
Crew, Erica is an sole proprietor health care provider with primary practice located at 105 S Banana River Blvd Fl 2 , Cocoa Beach FL 32931-5041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Crew, Erica can be contacted via phone (321) 868-8312.Contact Information
Primary practice address
105 S Banana River Blvd Fl 2
Cocoa Beach FL 32931-5041
Phone: (321) 868-8312
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME134111 | Florida |
Profile Details
| NPI number | 1538312988 |
|---|---|
| LBN Legal business name | Crew, Erica |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2008 |
| Last updated | Jul 7th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538312988 | NPPES |
| Florida | Other | JH765Z | MEDICARE |
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