Withman James Ermitus

Physician Assistant · North Miami, FL

Individual Active NPI

NPI number 1417511445

Practice location

12775 NW 2ND Ave
North Miami, FL 33168-4648
Phone
(786) 291-2914

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NPI record

NPI
1417511445
Entity type
Individual (Type 1)
Enumeration date
April 25, 2019
Last updated
August 30, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 57111 CA
Student in an Organized Health Care Education/Training Program 390200000X — —

About Withman Ermitus

Withman James Ermitus is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 12775 NW 2ND Ave, North Miami, FL 33168-4648. The NPI number 1417511445 was assigned on April 25, 2019 and the record was last updated on August 30, 2019.

Withman Ermitus lists a license in the registry: #57111 (CA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Withman James Ermitus?

The NPI number is 1417511445.

What is the phone number of Withman Ermitus?

The phone number listed for the practice location is (786) 291-2914.

Where is Withman Ermitus located?

12775 NW 2ND Ave, North Miami, FL 33168-4648.

What is the taxonomy code for Withman Ermitus?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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