Healthcare Provider Details

I. General information

NPI: 1225527849
Provider Name (Legal Business Name): ERICA JILL FLOREA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2018
Last Update Date: 05/05/2022
Certification Date: 04/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 SEASHORE DR
JUPITER FL
33477-9687
US

IV. Provider business mailing address

157 SEASHORE DR
JUPITER FL
33477-9687
US

V. Phone/Fax

Practice location:
  • Phone: 954-857-4776
  • Fax: 561-658-4541
Mailing address:
  • Phone: 561-677-9685
  • Fax: 561-658-4541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number3052292
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP3052292
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: