DR. ERIC J EWALD M.D NPI 1700846805

NPI Information

NPI: 1700846805
Provider Name: DR. ERIC J EWALD, M.D
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: COMPLETE LOCAL SPECIALTY CARE INC

PECOS Registration: Yes

Address:
950 GLADES RD STE 4A
BOCA RATON, FL
ZIP 33431
Phone: (561) 391-8086
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DR. Eric J Ewald, M.D is a general practice in Boca Raton, FL with 48 years of experience. DR. Eric J Ewald, M.D NPI is 1700846805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1976

The provider's business location address is:

950 GLADES RD STE 4A
BOCA RATON, FL
ZIP 33431-401
Phone: (561) 391-8086
Fax: (954) 354-8151

The NPI 1700846805 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 10/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		ME32060	FLORIDA	No
2	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	ME32060	FLORIDA	No
3	208D00000X	General Practice		ME32060	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	043169900	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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