Organization
R ROBERT EASTRIDGE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH ROBERT EASTRIDGE MD (PHYSICIAN PRESIDENT)
(561) 622-4900
Entity
Organization
Contact information
Practice address
3355 BURNS ROAD, SUITE 103, PALM BEACH GARDENS, FL 33410-4354
(561) 622-4900
(561) 622-0186
Mailing address
3355 BURNS ROAD, SUITE 103, PALM BEACH GARDENS, FL 33410-4354
(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
SIGNA
FL
01
—
4600807
AETNA
FL
01
—
P00343456
RAILROAD MEDICARE
FL
01
—
P1695816
OXFORD HEALTH PLAN
FL
Enumeration date
11/09/2006
Last updated
08/03/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up