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Individual

DR. MICHAEL J. ERHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 390-3747
(904) 390-3429
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
ME68695
FL
2088P0231X
Pediatric Urology Physician
Primary
ME68695
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000665002A
GA
05
378130500
FL
Enumeration date
08/10/2006
Last updated
09/15/2011
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