Ceithaml, Eric Lee

Ceithaml, Eric Lee is an individual health care provider with primary practice located at 836 Prudential Dr Ste 802 , Jacksonville FL 32207-8335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Ceithaml, Eric Lee can be contacted via phone (904) 202-8290.

Contact Information

Primary practice address
836 Prudential Dr Ste 802 Jacksonville FL 32207-8335
Phone: (904) 202-8290
Fax: (904) 202-8171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME50651 Florida

Profile Details

NPI number 1063485506
LBN Legal business name Ceithaml, Eric Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Oct 2nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063485506 NPPES
Georgia MEDICAID 000367617A
Georgia MEDICAID 0457868-00

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