Eric Lee Ceithaml M.D.

NPI 1063485506 - Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X

NPI Details
NPI 1063485506
Gender Male
Enumeration Date 02/07/2006
Last Updated 05/26/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
800 PRUDENTIAL DR
SUITE 202 / UFJP WOLFSON'S
JACKSONVILLE FL, 32207-8202, US
Phone (904) 202-8290
Fax (904) 202-8171
Business Location
PO BOX 44008
UFJP PROVIDER ENROLLMENT
JACKSONVILLE FL, 32231-4008, US
Phone
Fax
Toxanomy
Taxonomy Code 208G00000X
License State Florida
License Number ME50651
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According to our database, Dr. Eric Lee Ceithaml M.D. NPI is 1063485506, taxonomy code is 208G00000X and license number is ME50651, license state is located at Florida. Eric Lee Ceithaml M.D. physically located at 800 Prudential Dr, Jacksonville FL, 32207-8202. NPI Number Eric Lee Ceithaml M.D. has the Individual type.

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1063485506 NPI number is provided on an as is basis without warranty of any kind. 1063485506 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Lee Ceithaml M.D. are for informational purposes only.