# EDITHA BIELITZ INC

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

## Provider details

- **NPI number:** 1760479653
- **Authorized official:** EDITHA BIELITZ MD (OWNER)
- **Authorized official phone:** (850) 476-6060

## Contact information

- **Practice address:** 4400 BAYOU BLVD, STE. 52A, PENSACOLA, FL 32503
- **Practice address phone:** (850) 476-6060
- **Practice address fax:** (850) 476-6070
- **Mailing address:** 4400 BAYOU BLVD, SUITE 52A, PENSACOLA, FL 32503
- **Mailing address phone:** (850) 476-6060
- **Mailing address fax:** (850) 476-6070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME65517 | FL | Yes |

## Other

- **Enumeration date:** 10/05/2005
- **Last updated:** 01/13/2012
