Provider Demographics
NPI:1033797873
Name:MAY, ERICA (RT(R)(CT))
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:MAY
Suffix:
Gender:F
Credentials:RT(R)(CT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 SE 16TH AVE APT 6D
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-8664
Mailing Address - Country:US
Mailing Address - Phone:219-218-1829
Mailing Address - Fax:
Practice Address - Street 1:205 SE 16TH AVE APT 6D
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-8664
Practice Address - Country:US
Practice Address - Phone:219-218-1829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4229382085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology