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Individual

ERIKA MARIA FAILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 226-4542
Mailing address
PO BOX 935921, ATLANTA, GA 31193-5921

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME99504
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1619172137
TRICARE
FL
05
280586300
FL
01
42559
BCBS
FL
01
P00161205
RAILROAD
FL
Enumeration date
06/15/2007
Last updated
10/08/2024
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