MEDICARE: JOHN M ERHART M.D

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	207W00000X	Ophthalmology Physician	ME93267	FL

General Provider Information

NPI Number	:	1477644268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN M ERHART M.D

Provider Business Mailing Address
First Line	:	5305 GRAND BLVD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-4014
Country	:	US
Telephone Number	:	727-847-0889
Fax Number	:	727-846-8458

Provider Business Practice Location Address
First Line	:	5305 GRAND BLVD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-4014
Country	:	US
Telephone Number	:	727-847-0889
Fax Number	:	727-846-8458

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	07/08/2007

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