Healthcare Provider Details

I. General information

NPI: 1124598834
Provider Name (Legal Business Name): ERIKA MAKOUKDJI FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2018
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12401 MIRAMAR PKWY
MIRAMAR FL
33027-2900
US

IV. Provider business mailing address

12401 MIRAMAR PKWY
MIRAMAR FL
33027-2900
US

V. Phone/Fax

Practice location:
  • Phone: 545-388-4739
  • Fax:
Mailing address:
  • Phone: 954-621-7947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95010432
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11012596
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: