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NPI Code Detail

MEDICARE: ERIK CLARILLOS APRN

MEDICARE:   ERIK  CLARILLOS  APRN
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11047984FL

General Provider Information

NPI Number : 1497687388
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIK CLARILLOS APRN
Provider Business Mailing Address
First Line : 400 SHERIDAN RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-3184
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 SHERIDAN RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-3122
Country : US
Telephone Number : 321-722-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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