Individual
DR. ERIC CHARLES PUESTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7746 MILLER OAKS DR W, JACKSONVILLE, FL 32217-3512
(904) 739-1255
Mailing address
7746 MILLER OAKS DR W, JACKSONVILLE, FL 32217-3512
(904) 739-1255
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
22498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22498
MEDICAL LICENSE NUMBER
FL
Enumeration date
05/23/2007
Last updated
07/08/2007
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