Active NPI
Eduardo Ercia MD PA
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1235391509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- EDUARDO ERCIA MD PA
- Practice address
- 6301 Memorial Hwy
Suite 204
Tampa, FL 33615-4573 - Phone
- (813) 886-0713
- Fax
- (813) 881-1848
- NPI assigned
- Jun 27, 2008
- Last updated
- Jul 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eduardo Ercia, MD
- Title
- President / Owner
- Phone
- (813) 886-0713
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | FL | Primary |
Addresses
Primary practice location
6301 Memorial Hwy
Suite 204
Tampa, FL 33615-4573
Mailing address
6301 Memorial Hwy
Suite 204
Tampa, FL 33615-4573
Phone (813) 886-0713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051043200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
6301 Memorial Hwy
Ste 204
Tampa, FL 33615
Phone (813) 886-0713
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1942307681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216944000000",
"number": "1235391509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 MEMORIAL HWY",
"address_2": "SUITE 204",
"city": "TAMPA",
"state": "FL",
"postal_code": "336154573",
"telephone_number": "813-886-0713",
"fax_number": "813-881-1848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 MEMORIAL HWY",
"address_2": "SUITE 204",
"city": "TAMPA",
"state": "FL",
"postal_code": "336154573",
"telephone_number": "813-886-0713",
"fax_number": "813-881-1848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDUARDO ERCIA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-27",
"last_updated": "2008-07-25",
"status": "A",
"authorized_official_last_name": "ERCIA",
"authorized_official_first_name": "EDUARDO",
"authorized_official_title_or_position": "PRESIDENT / OWNER",
"authorized_official_telephone_number": "813-886-0713",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051043200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Edmund G Grant MD PA
- Miriam Edouard, ACNP-BC
- Edrina Hammond, LLC (Happy To Heal You Reiki Healing)
- Sarah Edrington, PA
- Bruce James Edson, MD
- Education 1St. Consulting
- Tiffany Edwall, D.C.
- Edward B Kampsen MD PA
- Edward Bass MD PA
- Edward H. Farrior, MD, PA (Farrior Plastic and Cosmetic Surgery Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.