Individual
EDUARDO BEDOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
876 SW STATE ROAD 247, LAKE CITY, FL 32025-8308
(386) 755-7595
(386) 755-7561
Mailing address
876 SW STATE ROAD 247, LAKE CITY, FL 32025-8308
(386) 755-7595
(386) 755-7561
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME81531
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260566000
—
FL
Enumeration date
09/13/2006
Last updated
06/13/2013
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