Healthcare Provider Details
I. General information
NPI: 1730153115
Provider Name (Legal Business Name): ERIN WERNER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/14/2006
Last Update Date: 03/29/2025
Certification Date: 03/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
724 NW 43RD STREET
GAINESVILLE FL
32607
US
IV. Provider business mailing address
724 NW 43RD STREET
GAINESVILLE FL
32607
US
V. Phone/Fax
- Phone: 352-332-7222
- Fax: 352-332-7330
- Phone: 352-332-7222
- Fax: 352-332-7330
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | ME67568 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | ME67568 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: