Healthcare Provider Details

I. General information

NPI: 1669776647
Provider Name (Legal Business Name): MR. ERIC ALAN CENTER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ERIC ALAN CENTER

II. Dates (important events)

Enumeration Date: 01/05/2011
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9140 GUILFORD RD STE O
COLUMBIA MD
21046-2584
US

IV. Provider business mailing address

1500 S DOUGLAS RD STE 230
CORAL GABLES FL
33134-4108
US

V. Phone/Fax

Practice location:
  • Phone: 443-583-5100
  • Fax:
Mailing address:
  • Phone: 844-244-1818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: