Individual
ERUM JIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3310 SW 34TH ST, OCALA, FL 34474-7422
(352) 873-0707
Mailing address
4170 SW 47TH CT, OCALA, FL 34474-9231
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9334098
FL
363LG0600X
Gerontology Nurse Practitioner
9334098
FL
Other
Enumeration date
08/11/2015
Last updated
04/25/2025
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