ERIKA LEIGH JACUMIN


Address: 8 Mirror Lake Dr., Ormond Beach, FL 32174
Phone: 3866732500

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 8 MIRROR LAKE DR.
City ORMOND BEACH
State FL
Zip Code 32174

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City ORMOND BEACH
Zip Code 32174

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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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