Individual
EDWARD THOMAS HUMBERT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7331 COLLEGE PKWY, SUITE 300, FORT MYERS, FL 33907-5524
(239) 337-2003
(239) 337-3168
Mailing address
7331 COLLEGE PKWY, SUITE 300, FORT MYERS, FL 33907-5524
(239) 337-2003
(239) 337-3168
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
OS8730
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0667439
AETNA
—
01
—
29035
BCBS
FL
Enumeration date
07/31/2006
Last updated
10/09/2019
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