ERICA ANN MAILLER


Address: 7335 W Sand Lake Rd Ste 200, Orlando, FL 32819-5539
Phone: 4073528553

ERICA ANN MAILLER (NPI# 1508077801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508077801
Entity Type Individual
Full Name ERICA ANN MAILLER
Credential MD
Practice Address 7335 W Sand Lake Rd Ste 200
Orlando
FL 32819-5539
Practice Telephone 4073528553
Practice Fax Number 4073518412
Mailing Telephone 4073528553
Mailing Fax Number 4073518412
Enumeration Date 2007-05-25
Last Update Date 2020-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology ME 105564 FL Allopathic & Osteopathic Physicians
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
ME 105564 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ANTHEM 000000567662 01

Office Location

Street Address 7335 W SAND LAKE RD STE 200
City ORLANDO
State FL
Zip Code 32819-5539

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427050178 Christopher Paul Crotty Dermatology 7335 W Sand Lake Rd Ste 200, Orlando, FL 32819-5539 2005-08-12
1497241459 Dawn Ruskin Cervantes Nurse Practitioner 7335 W Sand Lake Rd Ste 200, Orlando, FL 32819-5539 2018-07-02
1619255643 Jessica Anzevino Holland Physician Assistant 7335 W Sand Lake Rd Ste 200, Orlando, FL 32819-5539 2011-07-25
1003904285 Allison Kaye Arthur Dermatology 7335 W Sand Lake Rd Ste 200, Orlando, FL 32819-5539 2006-10-11

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NPI Name Taxonomy Address Enumeration
1093356842 Crew Community Health, Inc Internal Medicine 8601 Commodity Circle, Orlando, FL 32819 2019-10-03
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1225536303 Alliance Dme LLC Durable Medical Equipment & Medical Supplies 7031 Grand National Dr Ste 106b, Orlando, FL 32819 2018-01-24
1417465584 Marckenson Gerson Janvier Nurse Practitioner 9401 Turkey Lake Rd, Orlando, FL 32819 2018-01-11
1871003442 Sabeen Hasni Pharmacist 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 2017-10-09
1902343775 Darleen Walker Occupational Therapist 7243 Della Dr., Orlando, FL 32819 2017-01-31
1215483565 Krista Richardson Physical Therapist 9102 Universal Blvd., Orlando, FL 32819 2016-08-28
1841646536 Kiara Serrano Social Worker 7509 Pinemount Dr, Orlando, FL 32819 2016-05-11
1659749752 Angels for Kids On-call Case Management 7550 Future Drive Suite 105, Orlando, FL 32819 2015-09-04
1932589462 Krista Jean Cain Counselor 7758 Wallace Rd Ste Vi, Orlando, FL 32819 2015-05-29
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427050178 Christopher Paul Crotty Dermatology 7335 W Sand Lake Rd Ste 200, Orlando, FL 32819-5539 2005-08-12
1194046144 David A Weinstein Dermatology 9975 Tavistock Lakes Blvd Ste 360, Orlando, FL 32827-7665 2010-06-14
1982920757 John L Meisenheimer Md Pa Dermatology 7300 Sandlake Commons Blvd, Suite 105, Orlando, FL 32819-8050 2010-04-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144827577 Onspot-fl LLC. Dermatology 16461 Domestic Ave, Fort Myers, FL 33912-6008 2020-10-08
1942855150 International Dermatology Research, Inc. Dermatology 8370 W Flagler St Ste 200, Miami, FL 33144-2038 2019-08-05
1154815546 Forefront Dermatology, S.c. Dermatology 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 2018-06-19
1437517802 Total Vein and Skin LLC Dermatology 10383 Hagen Ranch Road, Ste 100, Boynton Beach, FL 33437-3732 2016-02-01
1861812851 Anand Haryani Dermatology 8745 N Us Highway 1, Sebastian, FL 32958-7524 2014-04-17
1164841797 Michael Montuno Dermatology 38135 Market Sq Ste 108, Zephyrhills, FL 33542-7505 2014-04-10
1861813719 Hillcrest Dermatology and Plastic Surgery P.a. Dermatology 733 Highway 466, Lady Lake, FL 32159-6340 2013-12-19
1922355957 Florida Medical Specialists Dermatology 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 2012-08-09
1619232501 Alliant Dermatology Pa Dermatology 8620 E County Road 466, The Villages, FL 32162-3670 2012-07-07
1114218328 Leavitt Medical Assocaittes of Florida Inc Dermatology 1426 E Bloomindale Ave, Valrico, FL 33596 2011-04-21
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Competitor

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City ORLANDO
Zip Code 32819

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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