Provider Demographics
NPI:1386837037
Name:FELIX, ERICKA I (DMD)
Entity Type:Individual
Prefix:DR
First Name:ERICKA
Middle Name:I
Last Name:FELIX
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9240 SW 72ND ST
Mailing Address - Street 2:SUITE #115
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3261
Mailing Address - Country:US
Mailing Address - Phone:305-595-0557
Mailing Address - Fax:305-595-3667
Practice Address - Street 1:9240 SW 72ND ST
Practice Address - Street 2:SUITE #115
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3261
Practice Address - Country:US
Practice Address - Phone:305-595-0557
Practice Address - Fax:305-595-3667
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN16544122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist