Healthcare Provider Details

I. General information

NPI: 1669942181
Provider Name (Legal Business Name): ERIKA SOSA FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2018
Last Update Date: 04/21/2021
Certification Date: 04/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 W CENTRAL PKWY
ALTAMONTE SPRINGS FL
32714-2436
US

IV. Provider business mailing address

3317 FERNDELL DR
WINTER PARK FL
32792-2058
US

V. Phone/Fax

Practice location:
  • Phone: 407-767-8554
  • Fax: 407-767-9121
Mailing address:
  • Phone: 407-927-1824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11000124
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: