MEDICARE: DR. ERIC M FOLKENS MD

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	207QA0401X	Addiction Medicine (Family Medicine) Physician	ME91466	FL
2	207Q00000X	Family Medicine Physician	ME91466	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770578916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC M FOLKENS MD

Provider Business Mailing Address
First Line	:	7322 MANATEE AVE W # 108
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34209-3441
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7322 MANATEE AVE W # 108
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34209-3441
Country	:	US
Telephone Number	:	941-708-0005
Fax Number	:

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

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	01/07/2025

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