Individual
DR. JAY ROGER ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 N E ST, SUITE 439, PENSACOLA, FL 32501-6339
(850) 432-3692
(800) 918-3765
Mailing address
1717 N E ST, SUITE 439, PENSACOLA, FL 32501-6339
(850) 432-3692
(800) 918-3765
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0067313
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009505740
—
AL
05
—
377029000
—
FL
Enumeration date
10/24/2006
Last updated
11/13/2007
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