Individual
JUDI L. ERRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12525 PHILIPS HWY STE 101, JACKSONVILLE, FL 32256-3740
(866) 400-3376
(904) 400-6560
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(866) 400-3376
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA9114830
FL
363A00000X
Physician Assistant
Primary
PA9114830
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/11/2020
Last updated
08/12/2025
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