| Dr Eric David Rideman, DO | |
|
4106 W Lake Mary Blvd Ste 330, Lake Mary, FL 32746-3383 | |
| (407) 833-9195 | |
| (407) 833-9308 |
| Full Name | Dr Eric David Rideman |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 4106 W Lake Mary Blvd Ste 330, Lake Mary, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396057394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | OS13629 (Florida) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric David Rideman, DO 4106 W Lake Mary Blvd Ste 330, Lake Mary, FL 32746-3383 Ph: (407) 833-9195 | Dr Eric David Rideman, DO 4106 W Lake Mary Blvd Ste 330, Lake Mary, FL 32746-3383 Ph: (407) 833-9195 |
Dr. Robin L Rahm, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4106 W Lake Mary Blvd Ste 213, Lake Mary, FL 32746 Phone: 407-829-2020 Fax: 407-829-2098 | |
William L Huether Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746 Phone: 407-833-9195 Fax: 407-833-9308 | |
Kasia Osadzinska, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 402 E Springtree Way, Lake Mary, FL 32746 Phone: 850-322-2706 | |
Dr. Nathan Christopher Deangelis, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746 Phone: 407-833-9195 Fax: 407-833-9308 | |
Sriram Rangarajan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4106 W Lake Mary Blvd Ste 213, Lake Mary, FL 32746 Phone: 407-422-3790 Fax: 407-425-4358 | |
Seong Gon Bae, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4106 W Lake Mary Blvd Ste 330, Lake Mary, FL 32746 Phone: 407-833-9195 | |
John W. Robertson, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746 Phone: 407-833-9195 Fax: 407-833-9308 |