Individual
DR. EDWARD DOMINICK TRIBUZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1132 S 14TH ST, FERNANDINA BEACH, FL 32034-2920
(904) 432-3061
(904) 432-3062
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME42515
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067854600
—
FL
01
—
45033
BCBS
FL
01
—
NG830
MEDICARE
FL
Enumeration date
01/05/2006
Last updated
06/09/2023
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