ERIC SARKIS MUDAFORT M.D. NPI 1912974585

NPI Information

  • NPI: 1912974585
  • Provider Name: ERIC SARKIS MUDAFORT, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1020 34TH DR W
    PALMETTO, FL
    ZIP 34221
  • Phone: (941) 962-9791

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NPI Details

Eric Sarkis Mudafort, M.D. is an obstetrics gynecology in Palmetto, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Eric Sarkis Mudafort, M.D. NPI is 1912974585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1020 34TH DR W
PALMETTO, FL
ZIP 34221-553
Phone: (941) 962-9791

The NPI 1912974585 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/2/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyME56921FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1260804900MEDICAIDFLORIDA
2P102210OTHERFLORIDAFREEDOM HEALTH
300448OTHERFLORIDAUNIVERSAL MEDICARE MASTERPIECE
4202561OTHERFLORIDAWELLCARE
5191910OTHERFLORIDAAMERIGROUP
6836514OTHERFLORIDAUNITED HEALTHCARE
7P00017940OTHERFLORIDARAILROAD
810311OTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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