Individual
DR. ERIC ORDINARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4601 W US HIGHWAY 90, LAKE CITY, FL 32055-4880
(386) 752-4189
(386) 752-4213
Mailing address
4601 W US HIGHWAY 90, LAKE CITY, FL 32055-4880
(386) 752-4189
(386) 752-4213
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OS7652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256141700
—
FL
Enumeration date
05/16/2006
Last updated
11/09/2023
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