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NPI Code Detail

MEDICARE: MRS. ERICA MARIE AMERSON MS CCCSLP

MEDICARE:  MRS. ERICA MARIE AMERSON  MS CCCSLP
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
1235Z00000XSpeech-Language PathologistSA7934FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111174701OTHERFLCITRUS HMO
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3355141OTHERFLWELLCARE HMO
4S2899OTHERFLBCBS

General Provider Information

NPI Number : 1669525457
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERICA MARIE AMERSON MS CCCSLP
Provider Business Mailing Address
First Line : PO BOX 917770
Second Line :
City : ORLANDO
State : FL
Zip : 32891-7770
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13101 BRUCE B DOWNS BLVD
Second Line : CMS
City : TAMPA
State : FL
Zip : 33612-3803
Country : US
Telephone Number : 813-974-0602
Fax Number : 813-250-8875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 04/09/2015

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Directions to “ MRS. ERICA MARIE AMERSON MS CCCSLP” Practice Location

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