Individual
JOSEPH JOHN BEDWAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
699 W COCOA BEACH CSWY, SUITE 505, COCOA BEACH, FL 32931-3577
(321) 868-4100
(321) 868-8374
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 868-4100
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME116202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013046200
—
FL
01
—
HV408Z
MEDICARE
FL
Enumeration date
10/07/2008
Last updated
05/01/2018
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