Organization
EDDIE A. NEGRON, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDIE ALBERTO NEGRON (OWNER)
(850) 864-1771
Entity
Organization
Contact information
Practice address
921 MAR WALT DR, FORT WALTON BEACH, FL 32547-6759
(850) 864-1771
(850) 864-1716
Mailing address
PO BOX 960, SHALIMAR, FL 32579-0960
(850) 864-1771
(850) 864-1716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME#49544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02379
BLUE CROSS
FL
Enumeration date
03/12/2007
Last updated
08/22/2020
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