Individual
MR. ERIC JAMES SEYBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4800 BELFORT ROAD, JACKSONVILLE, FL 32256
(904) 265-4801
(904) 265-4811
Mailing address
4800 BELFORT ROAD, JACKSONVILLE, FL 32256
(904) 483-5850
(904) 483-5860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9171004
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9171004
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293037400
—
FL
Enumeration date
12/06/2006
Last updated
05/25/2011
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