Provider Demographics
NPI:1124598834
Name:MAKOUKDJI, ERIKA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:
Last Name:MAKOUKDJI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12401 MIRAMAR PKWY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-2900
Mailing Address - Country:US
Mailing Address - Phone:954-621-7947
Mailing Address - Fax:
Practice Address - Street 1:10701 NW 41ST ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-1867
Practice Address - Country:US
Practice Address - Phone:545-388-4739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-26
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95010432363LF0000X
FL11012596363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily