Healthcare Provider Details

I. General information

NPI: 1801707203
Provider Name (Legal Business Name): ERICA JANE GUBERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5411 N UNIVERSITY DR STE 102
CORAL SPRINGS FL
33067-4637
US

IV. Provider business mailing address

11231 HERON BAY BLVD APT 3615
CORAL SPRINGS FL
33076-1678
US

V. Phone/Fax

Practice location:
  • Phone: 954-752-1559
  • Fax:
Mailing address:
  • Phone: 954-752-1559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY3042
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: