Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | ME127785 | FL |
NPI | 1154357838 |
---|---|
Provider Name | Teresa M Erb |
First Address | Jacksonville, FL 32258-7420 |
Second Address | Jacksonville, FL 32207-8336 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2006 |
Last Update Date | 28/04/2020 |