Provider Demographics
NPI:1538312988
Name:CREW, ERICA (MD)
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:
Last Name:CREW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2226 E SEMORAN BLVD
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-5724
Mailing Address - Country:US
Mailing Address - Phone:407-880-0011
Mailing Address - Fax:407-880-7792
Practice Address - Street 1:2226 E SEMORAN BLVD
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5724
Practice Address - Country:US
Practice Address - Phone:407-880-0011
Practice Address - Fax:407-880-7792
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME134111207Q00000X
KS04-38487207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLJH765ZOtherMEDICARE
NY010556898Medicaid