Provider Demographics
NPI:1184262693
Name:SOYKA, ERIN L
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:SOYKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 DAFFODIL DR SW APT H107
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32908-3360
Mailing Address - Country:US
Mailing Address - Phone:321-258-0669
Mailing Address - Fax:
Practice Address - Street 1:174 DAFFODIL DR SW APT H107
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32908-3360
Practice Address - Country:US
Practice Address - Phone:321-258-0669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care