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Individual

MRS. ERIN ANNE IKENBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4004 N RIVERSIDE DR, TAMPA, FL 33603-3212
(813) 296-8318
Mailing address
9988 LAKE SEMINOLE DR W, LARGO, FL 33773-4551
(813) 635-6106

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011877
NY

Other

Enumeration date
07/13/2007
Last updated
12/18/2021
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