Eric Verfaillie, PA-C, MMS

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9105726 Issued in FL

Practice address

927 45TH St Ste 201
Mangonia Park, FL 33407-2450

Phone

(561) 844-6363

Fax

(833) 464-4215

NPI assigned

Oct 28, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: eric.verfaillie.1@27004.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1528368263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462423",
            "telephone_number": "305-661-1515",
            "fax_number": "305-662-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 45TH ST STE 201",
            "city": "MANGONIA PARK",
            "state": "FL",
            "postal_code": "334072450",
            "telephone_number": "561-844-6363",
            "fax_number": "833-464-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERFAILLIE",
        "first_name": "ERIC",
        "credential": "PA-C, MMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-28",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9105726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youlanda Thompson, MS, LMHC
• Lindsay R Tiggis, RN, BSN, MSN, APRN
• Jonathan Lee Turkish, MD
• Mary Ann Vaccarello, M.D.
• Christine Marie Vanbasten, LMHC
• Walgreen Co
• West PL Behavioral Services
• Benjamin Dominic Westerhaus, MD
• Brittney Williams
• Morgan Willoughby, RCSWI

• Medical Physician Assistant in Mangonia Park, FL
• Providers in Mangonia Park, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.