Organization
EAGLE RIDGE MEDICAL CENTER CO.
Active
Other names
Blue Ridge Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET ELLEN EASTHAM MD (PRESIDENT)
(863) 679-1818
Entity
Organization
Contact information
Practice address
1030 CHALET SUZANNE RD, LAKE WALES, FL 33859-7760
(863) 679-1818
(863) 679-1097
Mailing address
1030 CHALET SUZANNE RD, LAKE WALES, FL 33859-7760
(863) 679-1818
(863) 679-1097
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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