Individual
DR. ERICKA DEVORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1250 W HWY 434 STE 1012, LONGWOOD, FL 32750-4969
(407) 260-1818
(407) 260-5662
Mailing address
1318 E 2ND AVE, MOUNT DORA, FL 32757-5814
(774) 269-0469
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY 1457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01321829
RR MEDICARE
FL
Enumeration date
05/18/2007
Last updated
09/24/2018
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