Dr. Eric Lee Ceithaml
Cardiothoracic Vascular Surgeon
836 Prudential Dr Ste 802
Jacksonville
, Florida 32207-8335
Dr. Eric Lee Ceithaml
Cardiothoracic Vascular Surgeon
836 Prudential Dr Ste 802
Jacksonville
, Florida 32207-8335
(904) 391-5075
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Eric Lee Ceithaml
- Po Box 44047
- Jacksonville, FL
- Zip : 32231-4047
- Fax : (904) 391-5075
- Phone : (904) 376-4083
Second Address
- Dr. Eric Lee Ceithaml
- 836 Prudential Dr Ste 802
- Jacksonville, FL
- Zip : 32207-8335
- Fax : (904) 202-8171
- Phone : (904) 202-8290
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME50651 | FL |
National Provider Identifier
| NPI | 1063485506 |
|---|---|
| Provider Name | Dr. Eric Lee Ceithaml |
| First Address | Jacksonville, FL 32231-4047 |
| Second Address | Jacksonville, FL 32207-8335 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2006 |
| Last Update Date | 02/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000367617A | (05) | GA |
| 0457868-00 | (05) | FL |
| D20791 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.