Individual
BRIAN CHARLES ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 N MARION ST, TAMPA, FL 33602-4914
(813) 474-9804
Mailing address
203 N MARION ST, TAMPA, FL 33602-4914
(813) 474-9804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
320725
LA
207Q00000X
Family Medicine Physician
Primary
ME172650
FL
207Q00000X
Family Medicine Physician
TRN23856
FL
Other
Enumeration date
06/15/2016
Last updated
03/10/2025
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