Individual
RALPH ROBERT EASTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3355 BURNS RD, SUITE 103, PALM BEACH GARDENS, FL 33410
(561) 622-4900
(561) 622-0186
Mailing address
3355 BURNS RD, SUITE 103, PALM BEACH GARDENS, FL 33410
(561) 622-4900
(561) 622-0186
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME22718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1725514
CIGNA
FL
01
—
4600807
AETNA
FL
01
—
P00343456
RAILROAD MEDICARE
FL
01
—
P1695816
OXFORD HEALTH PLANS
FL
Enumeration date
08/18/2005
Last updated
08/03/2007
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