MEDICARE: GILDA CROWDER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1528881067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GILDA CROWDER

Provider Business Mailing Address
First Line	:	6615 DOWCREST DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-5251
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4410 SHERIDAN ST STE A
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3553
Country	:	US
Telephone Number	:	954-989-3100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2024
Last Update Date	:	02/09/2026

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Directions to “ GILDA CROWDER ” Practice Location

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