MEDICARE: DR. ERIKA MARIA DE LA BARRA 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	208D00000X	General Practice Physician	ACN1611	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	:	1982384723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIKA MARIA DE LA BARRA MD

Provider Business Mailing Address
First Line	:	425 W COLONIAL DR STE 303
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6863
Country	:	US
Telephone Number	:	321-332-6947
Fax Number	:	689-304-0303

Provider Business Practice Location Address
First Line	:	3035 LAKELAND HILLS BLVD STE 4
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33805-2201
Country	:	US
Telephone Number	:	863-354-3050
Fax Number	:	863-337-4945

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

Provider Enumeration Date	:	07/18/2023
Last Update Date	:	01/07/2026

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