Provider Demographics
NPI:1922823871
Name:GOLDBERG, ERIKA C X (DNP, FNP)
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:C
Last Name:GOLDBERG
Suffix:X
Gender:F
Credentials:DNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 631
Mailing Address - Street 2:
Mailing Address - City:PAISLEY
Mailing Address - State:FL
Mailing Address - Zip Code:32767-0631
Mailing Address - Country:US
Mailing Address - Phone:786-512-7866
Mailing Address - Fax:
Practice Address - Street 1:8112 CENTRALIA CT STE 101
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-3701
Practice Address - Country:US
Practice Address - Phone:352-251-2588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-16
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11036506363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily