Provider Demographics
NPI:1215921218
Name:O'BRIEN, ERIN LEIGH (MD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:LEIGH
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8715 HENDERSON RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-1143
Mailing Address - Country:US
Mailing Address - Phone:407-375-0216
Mailing Address - Fax:716-303-5853
Practice Address - Street 1:8715 HENDERSON RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-1143
Practice Address - Country:US
Practice Address - Phone:407-375-0216
Practice Address - Fax:716-303-5853
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6292207V00000X
FLME113219207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G7851Medicare PIN
TX8G8403Medicare PIN