Individual
ALEXANDRIA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3050 CHAMPION RING RD, FORT MYERS, FL 33905-5599
(239) 313-2901
Mailing address
4820 GRIFFIN BLVD, FORT MYERS, FL 33908-2016
(239) 313-2901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PA9110732
FL
363A00000X
Physician Assistant
Primary
PA9110732
FL
Other
Enumeration date
10/20/2017
Last updated
10/25/2018
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