Individual
DAVID ALAN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1005 MAR WALT DR, FORT WALTON BEACH, FL 32547-6707
(850) 863-8203
(850) 863-8113
Mailing address
1005 MAR WALT DR, FORT WALTON BEACH, FL 32547-6707
(850) 863-8150
(850) 863-4152
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME152070
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111509700
—
FL
Enumeration date
10/15/2006
Last updated
09/21/2021
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