Healthcare Provider Details

I. General information

NPI: 1225929052
Provider Name (Legal Business Name): SAMANTHA JOSEPH-ERSKINE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32672 US 19 N
PALM HARBOR FL
34684-3113
US

IV. Provider business mailing address

11909 MIDDLEBURY DR
TAMPA FL
33626-2521
US

V. Phone/Fax

Practice location:
  • Phone: 508-717-4908
  • Fax:
Mailing address:
  • Phone: 508-717-4908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License NumberRN9609540
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9609540
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: