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Individual

DR. EDWARD ANTHONY SCHUKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1190 E NINE MILE RD, PENSACOLA, FL 32514-1651
(850) 494-4600
(850) 479-9180
Mailing address
1190 E. NINE MILE ROAD, PENSACOLA, FL 32514
(850) 494-4600
(850) 479-9180

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME110610
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003896600
FL
01
14F3V
BCBSFL
FL
Enumeration date
09/30/2005
Last updated
07/21/2022
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