Individual
LARRY R ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13855 US HIGHWAY 1, SUITE 4, SEBASTIAN, FL 32958-3232
(772) 646-6100
(772) 646-6110
Mailing address
2600 LAKE LUCIEN DR, SUITE 180, MAITLAND, FL 32751-7233
(407) 875-2080
(407) 875-0518
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME98052
FL
Other
Enumeration date
05/23/2006
Last updated
12/15/2009
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