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EDGAR R BLECKER M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1952388100

Individual Registrant:
 EDGAR R BLECKER M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
229 SEBASTIAN BLVD  SEBASTIAN, FL 32958-4616 US
Tel: 772-581-0016  Fax: 772-581-1198

Contact information for business:
229 SEBASTIAN BLVD  SEBASTIAN, FL 32958-4616 US
Tel: 772-581-0016  Fax: 772-581-1198

Registration Information:
NPI: 1952388100
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
FLME78368

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BC&BS PROVIDER #35392FL01




HEALTH CARE JOBS FL - Page 1



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