Individual
ERIC L SANDWITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1032 MAR WALT DR, SUITE 230, FORT WALTON BEACH, FL 32547-6661
(850) 862-3194
(850) 862-4423
Mailing address
1032 MAR WALT DR, SUITE 230, FORT WALTON BEACH, FL 32547-6661
(850) 862-3194
(850) 862-4423
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME90193
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274071100
—
FL
01
—
P00777005
RAILROAD MEDICARE
FL
Enumeration date
09/22/2005
Last updated
09/08/2016
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