Individual
DR. EDWARD HENRY GEORGE BECKER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13837 CIRCA CROSSING DR, LITHIA, FL 33547-4382
(813) 684-2663
(813) 685-6222
Mailing address
13837 CIRCA CROSSING DR, LITHIA, FL 33547-4382
(813) 684-2663
(813) 685-9178
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME116897
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME 116897
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009249300
—
FL
Enumeration date
02/16/2007
Last updated
03/13/2025
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