Provider Demographics
NPI:1225422249
Name:COMPANIONI, ERICH E (MSN,ARNP-BC,FNP,MBA)
Entity Type:Individual
Prefix:DR
First Name:ERICH
Middle Name:E
Last Name:COMPANIONI
Suffix:
Gender:M
Credentials:MSN,ARNP-BC,FNP,MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5995 SW 71ST ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3500
Mailing Address - Country:US
Mailing Address - Phone:305-669-6833
Mailing Address - Fax:305-666-4030
Practice Address - Street 1:1000 PONCE DE LEON BLVD
Practice Address - Street 2:SUITE 312
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-3353
Practice Address - Country:US
Practice Address - Phone:786-953-8921
Practice Address - Fax:305-728-2684
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-27
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9389790363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRN9389790OtherFLORIDA NURSING LICENSE
FLARNP9389790OtherFLORIDA FAMILY NURSE PRACTITIONER