Provider Demographics
NPI:1669193314
Name:EGOZI, ERIN PEARL (MS)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:PEARL
Last Name:EGOZI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 ISLAND BLVD APT 1804
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3787
Mailing Address - Country:US
Mailing Address - Phone:305-494-4026
Mailing Address - Fax:
Practice Address - Street 1:6000 ISLAND BLVD APT 1804
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-3787
Practice Address - Country:US
Practice Address - Phone:305-494-4026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT5102106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist