Provider Demographics
NPI:1881145811
Name:RODRIGUEZ, ERIKA (PA)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 PIPER BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1433
Mailing Address - Country:US
Mailing Address - Phone:239-514-2005
Mailing Address - Fax:239-593-0067
Practice Address - Street 1:1217 PIPER BLVD STE 101
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1433
Practice Address - Country:US
Practice Address - Phone:239-514-2005
Practice Address - Fax:239-593-0067
Is Sole Proprietor?:No
Enumeration Date:2016-10-14
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9117200363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant