Individual
DR. EDWARD J MILCARSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
239 N RIDGEWOOD AVE, EDGEWATER, FL 32132-1734
(386) 427-4868
(386) 427-6350
Mailing address
PO BOX 9671, DAYTONA BEACH, FL 32120-9671
(386) 427-4868
(386) 427-6350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0058714
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007625000
—
FL
01
—
1033116744
TRICARE
FL
01
—
14366
BCBS
FL
Enumeration date
07/07/2005
Last updated
07/15/2013
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