Female

Erika L. Jacumin PA

Medical Physician Assistant in Ormond Beach, FL(View on Map)

Full Name

Erika Leigh Jacumin PA

NPI Number

1548443518

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/12/2007

Specialties

(Taxonomies)

Code

363AM0700X
363A00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Kansas
New York

License Number

PA9109183
1501298
012303

Contact
Information

Purpose

Mailing
Location

Address

4041 ACOMA DR.
8 MIRROR LAKE DR.

City

Ormond Beach
Ormond Beach

State

FL
FL

Postal Code

32174
32174

Country

US
US

Telephone Number

(316) 461-0725
(386) 673-2500

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/18/2018

Provider Address

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