# EDUARDO ERCIA MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235391509
- **Authorized official:** EDUARDO ERCIA MD (PRESIDENT / OWNER)
- **Authorized official phone:** (813) 886-0713

## Contact information

- **Practice address:** 6301 MEMORIAL HWY, SUITE 204, TAMPA, FL 33615-4573
- **Practice address phone:** (813) 886-0713
- **Practice address fax:** (813) 881-1848
- **Mailing address:** 6301 MEMORIAL HWY, SUITE 204, TAMPA, FL 33615-4573
- **Mailing address phone:** (813) 886-0713
- **Mailing address fax:** (813) 881-1848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | FL | Yes |

## Other

- **Enumeration date:** 06/27/2008
- **Last updated:** 07/25/2008