Individual
ERICA ANN MAILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7335 W SAND LAKE RD STE 200, ORLANDO, FL 32819-5539
(407) 352-8553
(407) 351-8412
Mailing address
7335 W SAND LAKE RD STE 200, ORLANDO, FL 32819-5539
(407) 352-8553
(407) 351-8412
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME 105564
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME 105564
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000567662
ANTHEM
—
Enumeration date
05/25/2007
Last updated
11/27/2023
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