Individual
EDWARD C SKIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2100 SE OCEAN BLVD, STUART, FL 34996-3332
(772) 223-2115
(772) 223-0887
Mailing address
2100 SE OCEAN BLVD, STUART, FL 34996-3332
(772) 223-2115
(772) 223-0887
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101166
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039775000
—
FL
01
—
Y00V3
BCBS OF FLORIDA
FL
Enumeration date
05/17/2006
Last updated
11/08/2011
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