Eastridge, Michael D.

Eastridge, Michael D. is an sole proprietor health care provider with primary practice located at 275 96Th Ave N Suite 3, Saint Petersburg FL 33702-2504. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Eastridge, Michael D. can be contacted via phone (727) 579-0080.

Contact Information

Primary practice address
275 96Th Ave N Suite 3 Saint Petersburg FL 33702-2504
Phone: (727) 579-0080
Fax: (727) 578-2542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY0003431 Florida

Profile Details

NPI number 1720129539
LBN Legal business name Eastridge, Michael D.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 18 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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