Healthcare Provider Details

I. General information

NPI: 1275173247
Provider Name (Legal Business Name): ERIN M LEPOCHAT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2020
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6606 STADIUM DR STE A
ZEPHYRHILLS FL
33542-7510
US

IV. Provider business mailing address

15026 SOUTHFORK DR
TAMPA FL
33624-2324
US

V. Phone/Fax

Practice location:
  • Phone: 813-788-5575
  • Fax: 813-355-5047
Mailing address:
  • Phone: 813-240-0063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11004689
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11004689
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: