MEDICARE: DEBRA SUNNER ERIKSEN D.O.

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	207L00000X	Anesthesiology Physician	4448	WV
2	207L00000X	Anesthesiology Physician	OS5597	FL
3	207L00000X	Anesthesiology Physician	02008142A	IN
4	207L00000X	Anesthesiology Physician	OP61609250	WA

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	80149	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891770269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA SUNNER ERIKSEN D.O.

Provider Business Mailing Address
First Line	:	7033 RIVERGATE AVE
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33637-0917
Country	:	US
Telephone Number	:	813-334-2322
Fax Number	:

Provider Business Practice Location Address
First Line	:	7033 RIVERGATE AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33637-0917
Country	:	US
Telephone Number	:	813-333-6278
Fax Number	:	813-333-6279

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

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	09/17/2025

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