Piazza, Eric Stephen

Piazza, Eric Stephen is an individual health care provider with primary practice located at 311 N Clyde Morris Blvd Suite 580, Daytona Beach FL 32114-2781. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Piazza, Eric Stephen can be contacted via phone (386) 425-5055.

Contact Information

Primary practice address
311 N Clyde Morris Blvd Suite 580 Daytona Beach FL 32114-2781
Phone: (386) 425-5055
Fax: (386) 257-5058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9102326 Florida

Profile Details

NPI number 1508036419
LBN Legal business name Piazza, Eric Stephen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2008
Last updated Nov 20th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508036419 NPPES
Florida MEDICAID 292012300

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