MEDICARE: ERICA SIMPLICE NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11038215	FL

General Provider Information

NPI Number	:	1528868668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA SIMPLICE NP

Provider Business Mailing Address
First Line	:	410 N ORANGE AVE APT 716
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-1538
Country	:	US
Telephone Number	:	781-366-6218
Fax Number	:	407-347-3950

Provider Business Practice Location Address
First Line	:	7300 SANDLAKE COMMONS BLVD STE 304
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8022
Country	:	US
Telephone Number	:	407-876-2273
Fax Number	:	407-347-3950

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

Provider Enumeration Date	:	03/17/2025
Last Update Date	:	12/31/2025

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