Provider Demographics
NPI:1154357838
Name:ERB, TERESA M (MD)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:M
Last Name:ERB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14540 OLD SAINT AUGUSTINE RD STE 2503
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-7420
Mailing Address - Country:US
Mailing Address - Phone:904-262-5992
Mailing Address - Fax:
Practice Address - Street 1:836 PRUDENTIAL DR STE 902
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8336
Practice Address - Country:US
Practice Address - Phone:904-399-5620
Practice Address - Fax:904-399-5645
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2020-04-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME127785207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology