Individual
DR. ERIC LEE CEITHAML
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
836 PRUDENTIAL DR STE 802, JACKSONVILLE, FL 32207-8335
(904) 202-8290
(904) 202-8171
Mailing address
PO BOX 44047, JACKSONVILLE, FL 32231-4047
(904) 376-4083
(904) 391-5075
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME50651
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000367617A
—
GA
05
—
0457868-00
—
FL
Enumeration date
02/07/2006
Last updated
10/02/2018
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