Individual
NANCY LEA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
601 N FLAMINGO RD, #411, PEMBROKE PINES, FL 33028-1015
(954) 433-8711
Mailing address
PO BOX 817737, HOLLYWOOD, FL 33081-1737
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
OS6069
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
OS6069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370328200
—
FL
01
—
80633
BCBS
FL
Enumeration date
01/20/2006
Last updated
12/23/2021
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