Individual
ERIC NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10987 SHELDON RD STE 200, TAMPA, FL 33626-4702
(813) 467-4800
(813) 467-4252
Mailing address
11404 PALM PASTURE DR, TAMPA, FL 33635-6317
(813) 495-1055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115968
FL
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
03/22/2022
Last updated
03/24/2023
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