Individual
ERIN DOMINIQUE DISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
460 N ORLANDO AVE, STE 200 BLDG D, WINTER PARK, FL 32789-2988
(407) 898-5452
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113511
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110720100
—
FL
Enumeration date
10/27/2020
Last updated
09/03/2022
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