MEDICARE: ANDREA ERICKSON PA

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	363A00000X	Physician Assistant	PA9111987	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811455173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA ERICKSON PA

Provider Business Mailing Address
First Line	:	7270 BOYNTON BEACH BLVD STE B1
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3805
Country	:	US
Telephone Number	:	561-738-5772
Fax Number	:

Provider Business Practice Location Address
First Line	:	7270 W BOYNTON BEACH BLVD STE B1
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3805
Country	:	US
Telephone Number	:	561-738-5772
Fax Number	:	561-738-0096

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

Provider Enumeration Date	:	03/06/2019
Last Update Date	:	12/11/2025

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Directions to “ ANDREA ERICKSON PA” Practice Location

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