Provider Demographics
NPI:1003088519
Name:WEBER, ERIKA (AP)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:
Last Name:WEBER
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 ATLANTIC BLVD UNIT 1
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32233-4025
Mailing Address - Country:US
Mailing Address - Phone:904-881-8080
Mailing Address - Fax:
Practice Address - Street 1:625 ATLANTIC BLVD UNIT 1
Practice Address - Street 2:
Practice Address - City:ATLANTIC BEACH
Practice Address - State:FL
Practice Address - Zip Code:32233-4025
Practice Address - Country:US
Practice Address - Phone:904-881-8080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003606-1171100000X
FLAP4400171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY003606-1OtherLICENSE