Healthcare Provider Details

I. General information

NPI: 1275586042
Provider Name (Legal Business Name): DONALD LOUIS ERB D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6050 CATTLERIDGE BLVD STE 201
SARASOTA FL
34232-6028
US

IV. Provider business mailing address

6050 CATTLERIDGE BLVD STE 201
SARASOTA FL
34232
US

V. Phone/Fax

Practice location:
  • Phone: 941-365-0655
  • Fax: 941-366-8043
Mailing address:
  • Phone: 941-365-0655
  • Fax: 941-366-8043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberOS7114
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: