MEDICARE: MRS. ERIKA LEE FILIS

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	225200000X	Physical Therapy Assistant	FL24467	FL

General Provider Information

NPI Number	:	1235950585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIKA LEE FILIS

Provider Business Mailing Address
First Line	:	815 BRIAR CREEK BLVD NE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32905-5423
Country	:	US
Telephone Number	:	321-506-2862
Fax Number	:

Provider Business Practice Location Address
First Line	:	3266 HAINLIN AVE SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-8239
Country	:	US
Telephone Number	:	321-506-2862
Fax Number	:

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

Provider Enumeration Date	:	10/21/2024
Last Update Date	:	10/21/2024

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