NPI 1003454786

Erica Lynn Iketani, PA

Practitioner Physician Assistant Gainesville, FL

Practice location

Address: 1600 SW Archer Rd Rm 10-504, Gainesville, FL 32610-3003
Phone: (352) 265-0462
Mailing address: 2114 SW 102nd Ter, Gainesville, FL 32607-3254

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9112811 (FL)

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Registry record

NPI: 1003454786
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2019
Record last updated: 9 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.