Provider Demographics
NPI:1124328125
Name:PODOLSKY, ERICA RACHEL (MD)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:RACHEL
Last Name:PODOLSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 20800
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4105
Mailing Address - Country:US
Mailing Address - Phone:888-402-7256
Mailing Address - Fax:888-902-1099
Practice Address - Street 1:16215 S JOG RD STE 204
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-2386
Practice Address - Country:US
Practice Address - Phone:561-448-3848
Practice Address - Fax:561-501-3808
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME121024208600000X, 208600000X
NC2013-00610208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery