Individual
ERTHA KAY MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
7727 LAKE UNDERHILL RD, ORLANDO, FL 32822-8224
(407) 303-8110
Mailing address
435 S THOMPSON RD, APOPKA, FL 32703-5549
(321) 947-0419
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
22-129
FL
363AS0400X
Surgical Physician Assistant
Primary
22-129
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-129
HOSPITAL
FL
Enumeration date
05/20/2022
Last updated
01/15/2024
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