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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1376535138 NPPES
Florida Other 1725514 CIGNA
Florida Other 4600807 CIGNA
Florida Other P1695816 CIGNA
Florida Other P00343456 CIGNA

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