Sandwith, Eric L

Sandwith, Eric L is an individual health care provider with primary practice located at 1032 Mar Walt Dr Suite 230, Fort Walton Beach FL 32547-6661. 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. Sandwith, Eric L can be contacted via phone (850) 862-3194.

Contact Information

Primary practice address
1032 Mar Walt Dr Suite 230 Fort Walton Beach FL 32547-6661
Phone: (850) 862-3194
Fax: (850) 862-4423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME90193 Florida

Profile Details

NPI number 1174519441
LBN Legal business name Sandwith, Eric L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Sep 8th, 2016 - 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 1174519441 NPPES
Florida Other P00777005 RAILROAD MEDICARE
Florida MEDICAID 274071100 RAILROAD MEDICARE

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