# EDGAR R BLECKER MD PA

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

## Provider details

- **NPI number:** 1871528562
- **Authorized official:** DR. EDGAR RENE BLECKER MD (PRESIDENT)
- **Authorized official phone:** (772) 581-0016

## Contact information

- **Practice address:** 229 SEBASTIAN BOULEVARD, SEBASTIAN, FL 32958
- **Practice address phone:** (772) 581-0016
- **Practice address fax:** (772) 581-1198
- **Mailing address:** 229 SEBASTIAN BOULEVARD, SEBASTIAN, FL 32958
- **Mailing address phone:** (772) 581-0016
- **Mailing address fax:** (772) 581-1198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME78368 | FL | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 03/15/2017