Erica Connell, LPTA is a
Physical Medicine & Rehabilitation physician based in Shalimar, Florida. Erica Connell is licensed to practice in Florida (license number PTA28370) and her current practice location is 30 Holly Ave, Shalimar, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 651-2635.
NPI number for Erica Connell is 1104405133 and her current mailing address is 2034 Sunset Pine Way, Gulf Breeze, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104405133.
Physician's Profile
| Full Name | Erica Connell |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 30 Holly Ave, Shalimar, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104405133
- Provider Enumeration Date: 04/06/2021
- Last Update Date: 04/06/2021
Medical Identifiers
Medical identifiers for Erica Connell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104405133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | PTA28370 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erica Connell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Erica Connell, LPTA
2034 Sunset Pine Way,
Gulf Breeze, FL 32563-9774
Ph: (205) 585-7654 | Erica Connell, LPTA
30 Holly Ave,
Shalimar, FL 32579-1158
Ph: (850) 651-2635 |
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