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Individual

EDWARD S HOMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4742
(813) 974-2232
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME25114
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29858
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/13/2006
Last updated
02/25/2008
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