Individual
DR. EDWARD CRAIG RELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14254 STATE ROAD 574, DOVER, FL 33527
(813) 349-7700
(813) 340-7761
Mailing address
14254 S.R. 574, DOVER, FL 33527
(813) 349-7700
(813) 349-7761
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME85548
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265727900
—
FL
Enumeration date
11/07/2006
Last updated
02/11/2010
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