Organization
EDUARDO ERCIA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO ERCIA MD (PRESIDENT / OWNER)
(813) 886-0713
Entity
Organization
Contact information
Practice address
6301 MEMORIAL HWY, SUITE 204, TAMPA, FL 33615-4573
(813) 886-0713
(813) 881-1848
Mailing address
6301 MEMORIAL HWY, SUITE 204, TAMPA, FL 33615-4573
(813) 886-0713
(813) 881-1848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051043200
—
FL
Enumeration date
06/27/2008
Last updated
07/25/2008
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