MEDICARE: DR. ERIC ROBERTO VERNIER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	ME113360	FL
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1174755110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC ROBERTO VERNIER MD

Provider Business Mailing Address
First Line	:	508 S HABANA AVE
Second Line	:	SUITE 340
City	:	TAMPA
State	:	FL
Zip	:	33609-4181
Country	:	US
Telephone Number	:	813-873-7367
Fax Number	:	813-875-9722

Provider Business Practice Location Address
First Line	:	508 S HABANA AVE
Second Line	:	SUITE 340
City	:	TAMPA
State	:	FL
Zip	:	33609-4181
Country	:	US
Telephone Number	:	813-873-7367
Fax Number	:	813-875-9722

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2009
Last Update Date	:	06/02/2026

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