Provider Demographics
NPI:1215339866
Name:DOYLE, ERME DON III (LPN)
Entity type:Individual
Prefix:MR
First Name:ERME
Middle Name:DON
Last Name:DOYLE
Suffix:III
Gender:M
Credentials:LPN
Other - Prefix:MR
Other - First Name:ERMEL
Other - Middle Name:DON
Other - Last Name:DOYLE
Other - Suffix:III
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:493 SW ARREDONDO PL
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32025-5719
Mailing Address - Country:US
Mailing Address - Phone:386-965-3788
Mailing Address - Fax:
Practice Address - Street 1:493 SW ARREDONDO PL
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-5719
Practice Address - Country:US
Practice Address - Phone:386-965-3788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5174066164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse