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Individual
EDWARD EARL MAREADY JR.
Active
Individual
EDWARD EARL MAREADY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME93006
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07754
BCBS
FL
05
—
272354900
—
FL
01
—
P00253744
RR MCR
—
Enumeration date
10/19/2005
Last updated
02/27/2012
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