# EDDIE A. NEGRON, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588796635
- **Authorized official:** DR. EDDIE ALBERTO NEGRON (OWNER)
- **Authorized official phone:** (850) 864-1771

## Contact information

- **Practice address:** 921 MAR WALT DR, FORT WALTON BEACH, FL 32547-6759
- **Practice address phone:** (850) 864-1771
- **Practice address fax:** (850) 864-1716
- **Mailing address:** PO BOX 960, SHALIMAR, FL 32579-0960
- **Mailing address phone:** (850) 864-1771
- **Mailing address fax:** (850) 864-1716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME\#49544 | FL | Yes |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 08/22/2020