Individual
ERIC URSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8300 RED BUG LAKE RD, OVIEDO, FL 32765-6801
(352) 871-3542
Mailing address
8300 RED BUG LAKE RD, OVIEDO, FL 32765-6801
(352) 871-3542
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME125769
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306004924
—
CA
05
—
726893
—
AZ
01
—
P01114204
RR MEDICARE
AZ
01
—
P01218844
RR MEDICARE
NV
01
—
P01248873
RR MEDICARE
NV
Enumeration date
05/30/2008
Last updated
03/16/2026
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