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Individual

MR. JOHN KENNETH ERICKSON II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
926 CYPRESS VILLAGE BLVD STE B, RUSKIN, FL 33573-6831
(239) 690-6906
Mailing address
926 CYPRESS VILLAGE BLVD STE B, RUSKIN, FL 33573-6831
(239) 690-6906

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11042587
FL

Other

Enumeration date
09/03/2025
Last updated
09/30/2025
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