Healthcare Provider Details

I. General information

NPI: 1114355211
Provider Name (Legal Business Name): ERIN SOLOWAY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN ZAMPELL

II. Dates (important events)

Enumeration Date: 10/29/2013
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14543 GLOBAL PARKWAY SUITE 110, 2ND FLOOR
FORT MYERS FL
33913-9446
US

IV. Provider business mailing address

PO BOX 749495
ATLANTA GA
30374-9495
US

V. Phone/Fax

Practice location:
  • Phone: 239-264-7026
  • Fax: 239-567-3679
Mailing address:
  • Phone: 855-963-2100
  • Fax: 239-236-2775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9107409
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: