Eric Innocent

Physician Assistant · Miramar, FL

Individual Active NPI

NPI number 1497473896

Practice location

9096 SW 36TH Mnr
Miramar, FL 33025-7964
Phone
(786) 320-3048

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NPI record

NPI
1497473896
Entity type
Individual (Type 1)
Enumeration date
August 22, 2022
Last updated
August 28, 2026
Certified
August 28, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 10296 AZ
Physician Assistant 363A00000X 1365-P.A. PR

Mailing address

4703 S Mill Ave
Tempe, AZ 85282-6721
Phone
(786) 320-3048

About Eric Innocent

Eric Innocent is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 9096 SW 36TH Mnr, Miramar, FL 33025-7964. The NPI number 1497473896 was assigned on August 22, 2022 and the record was last updated on August 28, 2026.

Eric Innocent lists 2 licenses in the registry: #10296 (AZ) for Physician Assistant; #1365-P.A. (PR) 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 Eric Innocent?

The NPI number is 1497473896.

What is the phone number of Eric Innocent?

The phone number listed for the practice location is (786) 320-3048.

Where is Eric Innocent located?

9096 SW 36TH Mnr, Miramar, FL 33025-7964.

What is the taxonomy code for Eric Innocent?

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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