DR. ERIC CHARLES PUESTOW


Address: 7746 Miller Oaks Dr W, Jacksonville, FL 32217-3512
Phone: 9047391255

DR. ERIC CHARLES PUESTOW (NPI# 1255541512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255541512
Entity Type Individual
Full Name DR. ERIC CHARLES PUESTOW
Credential MD
Practice Address 7746 Miller Oaks Dr W
Jacksonville
FL 32217-3512
Practice Telephone 9047391255
Mailing Telephone 9047391255
Enumeration Date 2007-05-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
22498 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICAL LICENSE NUMBER 22498 01

Office Location

Street Address 7746 MILLER OAKS DR W
City JACKSONVILLE
State FL
Zip Code 32217-3512

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1336605005 Mary Ellen Mccullough-list Behavior Technician 3437 Miruelo Circle North, Jacksonville, FL 32217 2019-02-18
1285131656 Priority One Home Care LLC In Home Supportive Care 7500 Powers Ave Apt 198, Jacksonville, FL 32217 2018-04-11
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1548779929 Acumed Medical Ltd. Durable Medical Equipment & Medical Supplies 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 2017-09-28
1437685526 Ward Zeigler Behavior Technician 3437 Miruelo Cr. N., Jacksonville, FL 32217 2017-05-10
1538695754 Shilonda Peterson-jackson Technician, Other 3437 Miruelo Cr N, Jacksonville, FL 32217 2017-05-08
1114467834 Louis R. Lothman Counselor 3734 San Viscaya Dr., Jacksonville, FL 32217 2017-02-28
1023490141 A Gentle Touch Home Health Care LLC. Home Health 5991 Chester Avenue, Jacksonville, FL 32217 2015-06-25
1912320334 Christopher Marshall Fuller Developmental Therapist 5132 Edgeware Ct., Jacksonville, FL 32217 2014-01-22
1790040020 Maria R. Tapia Psychologist 7680 Smullian Trail West, Jacksonville, FL 32217 2012-07-12
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013402783 Thyroid Diabetes Endocrinology and Wellness Inc Internal Medicine 8075 Gate Pkwy W Ste 306, Jacksonville, FL 32216-3685 2018-06-26
1013461193 Diabetes Management Partners LLC Internal Medicine 4190 Belfort Rd Ste 352, Jacksonville, FL 32216-1407 2016-08-07
1679910863 Poonam Kalidas Kapadia Internal Medicine 653 W 8th St # L-14, Jacksonville, FL 32209-6511 2013-05-28
1679896401 Robert Miller Md Pa Internal Medicine 1547 San Marco Blvd, Jacksonville, FL 32207-2905 2010-03-08
1467683524 Salma Makhoul-ahwach Internal Medicine 3 Shircliff Way Ste 630, Jacksonville, FL 32204-4776 2009-08-06
1811134216 Rafael Eligio Gomez Jr. Internal Medicine 1222 Molokai Rd, Jacksonville, FL 32216-3276 2009-01-07
1134328719 Ramadan Hammoud Internal Medicine 9745 Touchton Rd Unit 1705, Jacksonville, FL 32246-9200 2007-07-13
1952387912 Gunjan Y Gandhi Internal Medicine 653 W 8th St, Jacksonville, FL 32209-6511 2005-12-21
1821071903 Melissa Anne Morgan Internal Medicine 11945 San Jose Blvd Ste 301, Credentialing Department, Jacksonville, FL 32223-1627 2005-11-22
1972067528 First Choice Endocrinology LLC Internal Medicine 8837 Goodbys Executive Dr, Jacksonville, FL 32217-4605 2019-01-29
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Competitor

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City JACKSONVILLE
Zip Code 32217

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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