Individual
DR. EDWARD S PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3550 UNIVERSITY BLVD S, SUITE 302, JACKSONVILLE, FL 32216-4246
(904) 733-4444
Mailing address
3550 UNIVERSITY BLVD S, SUITE 302, JACKSONVILLE, FL 32216-4246
(904) 733-4444
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME 94160
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274080000
—
FL
01
—
30173
BCBS
FL
01
—
P00275053
RAILROAD MEDICARE
FL
Enumeration date
07/30/2006
Last updated
08/09/2012
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