Individual
DR. ERIC DAVID RIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4106 W LAKE MARY BLVD STE 330, LAKE MARY, FL 32746-3383
(407) 833-9195
(407) 833-9308
Mailing address
4106 W LAKE MARY BLVD STE 330, LAKE MARY, FL 32746-3383
(407) 833-9195
(407) 833-9308
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS13629
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2010
Last updated
06/23/2016
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