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Individual

DR. EDWARD RENE BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME40716
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02046
BCBS
FL
05
040583300
FL
01
1004927
CAREPLUS
FL
01
1249272
WELLCARE
FL
01
4101126
AETNA
FL
01
8902
DIMENSION HEALTH
FL
01
P00388
FREEDOM
FL
01
P01652192
RR MEDICARE
FL
01
P929223
OPTIMUM
FL
Enumeration date
01/09/2006
Last updated
10/13/2016
Update your record

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