Individual
CURTIS EDEWAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5554
(772) 398-1588
Mailing address
1900 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0013955
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31065
BCBS
FL
Enumeration date
09/23/2011
Last updated
09/23/2011
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