ERIKA LEIGH JACUMIN (NPI# 1548443518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548443518 |
Entity Type | Individual |
Full Name | ERIKA LEIGH JACUMIN |
Credential | PA |
Practice Address |
8 Mirror Lake Dr. Ormond Beach FL 32174 |
Mailing Address |
4041 Acoma Dr. Ormond Beach FL 32174 |
Practice Telephone | 3866732500 |
Practice Fax Number | 3866732504 |
Mailing Telephone | 3164610725 |
Mailing Fax Number | 3162605424 |
Enumeration Date | 2007-12-12 |
Last Update Date | 2018-12-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 1501298 | KS | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | 012303 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9109183 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
8 MIRROR LAKE DR. |
City | ORMOND BEACH |
State | FL |
Zip Code | 32174 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
Find all providers in zip 32174 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053332122 | Rafat Shafik Iskander | Physician Assistant | 400 Clyde Morris Blvd, Ste A, Ormond Beach, FL 32174-8171 | 2006-07-22 |
1003801598 | Neha D Patel | Physician Assistant | 1245 W Granada Blvd, Ormond Beach, FL 32174-5914 | 2005-09-12 |
1346719812 | Shekinah Health & Wellness Center, LLC | Physician Assistant | 305 Clyde Morris Blvd, Ormond Beach, FL 32174-8181 | 2018-11-14 |
1558879767 | Demi Soulet | Physician Assistant | 802 Sterthaus Dr Ste C, Ormond Beach, FL 32174-5132 | 2018-01-22 |
1679011480 | Brad T Taylor | Physician Assistant | 725 W Granada Blvd, Suite 22, Ormond Beach, FL 32174-9435 | 2017-02-01 |
1629435631 | Nancy Deeb | Physician Assistant | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 | 2016-01-21 |
1811367105 | Van-anh Tran | Physician Assistant | 298 S Yonge St, Ormond Beach, FL 32174-6264 | 2015-09-30 |
1194862748 | Cynthia A Dean | Physician Assistant | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 | 2007-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
Find all providers with the same taxonomy |
City | ORMOND BEACH |
Zip Code | 32174 |
Please comment or provide details below to improve the information on ERIKA LEIGH JACUMIN.
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.