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EDGAR R BLECKER M.D.
>> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1952388100
Individual Registrant: EDGAR R BLECKER M.D.
Gender: M
Sole Proprietor
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
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
Tel: 772-581-0016 Fax: 772-581-1198
Registration Information:
NPI: 1952388100
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | FL | ME78368 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BC&BS PROVIDER # | 35392 | FL | 01 |
