MEDICARE: ERIKA NOTICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	9313960	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2025063637	FL

General Provider Information

NPI Number	:	1073095444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA NOTICE

Provider Business Mailing Address
First Line	:	3544 MCCORMICK WOODS DR
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-4461
Country	:	US
Telephone Number	:	407-247-5566
Fax Number	:

Provider Business Practice Location Address
First Line	:	11602 LAKE UNDERHILL RD STE 104
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825-4459
Country	:	US
Telephone Number	:	407-581-8640
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2018
Last Update Date	:	05/26/2026

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