Individual
DR. EDITHA BIELITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4400 BAYOU BLVD, STE 52A, PENSACOLA, FL 32503
(850) 476-6060
(850) 476-6070
Mailing address
4400 BAYOU BLVD., STE 52A, PENSACOLA, FL 32503
(850) 476-6060
(850) 476-6070
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME65517
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01584
BLUE CROSS BLUE SHEILD FL
FL
01
—
07-01149
UNITED HEALTHCARE
FL
Enumeration date
07/01/2005
Last updated
01/13/2012
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