Healthcare Provider Details

I. General information

NPI: 1225422249
Provider Name (Legal Business Name): ERICH E COMPANIONI MSN,ARNP-BC,FNP,MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 01/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 PONCE DE LEON BLVD SUITE 312
CORAL GABLES FL
33134-3353
US

IV. Provider business mailing address

5995 SW 71ST ST
SOUTH MIAMI FL
33143-3500
US

V. Phone/Fax

Practice location:
  • Phone: 786-953-8921
  • Fax: 305-728-2684
Mailing address:
  • Phone: 305-669-6833
  • Fax: 305-666-4030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 9389790
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: