Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Withman James Ermitus

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417511445

Withman James Ermitus is a Student in an Organized Health Care Education/Training Program in North Miami, Florida. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

12775 NW 2nd Ave
North Miami, FL 33168-4648
Phone: (786) 291-2914
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Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 57111 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417511445
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 25, 2019
Last updated in NPPESAugust 30, 2019
Mailing address12775 Nw 2nd Ave, North Miami, FL 33168-4648

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