Individual
DR. ERIC J EWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
950 GLADES RD STE 4A, BOCA RATON, FL 33431-6401
(561) 391-8086
(954) 354-8151
Mailing address
4855 W HILLSBORO BLVD, SUITE B2, COCONUT CREEK, FL 33073
(954) 418-1683
(954) 418-1698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME32060
FL
2083P0901X
Public Health & General Preventive Medicine Physician
ME32060
FL
208D00000X
General Practice Physician
Primary
ME32060
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043169900
—
FL
Enumeration date
03/24/2006
Last updated
10/18/2021
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