Eastridge, Ralph Robert
Eastridge, Ralph Robert is an individual health care provider with primary practice located at 3355 Burns Rd Suite 103, Palm Beach Gardens FL 33410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Eastridge, Ralph Robert can be contacted via phone (561) 622-4900.Contact Information
Primary practice address
3355 Burns Rd Suite 103
Palm Beach Gardens FL 33410
Phone: (561) 622-4900
Fax: (561) 622-0186
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | ME22718 | Florida |
Profile Details
NPI number | 1376535138 |
---|---|
LBN Legal business name | Eastridge, Ralph Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 18th, 2005 |
Last updated | Aug 3rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376535138 | NPPES |
Florida | Other | 1725514 | CIGNA |
Florida | Other | 4600807 | CIGNA |
Florida | Other | P1695816 | CIGNA |
Florida | Other | P00343456 | CIGNA |
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