Individual
DR. EDWARD L BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1151 MALLARD MARSH DR, OSPREY, FL 34229-6810
(941) 918-4863
(941) 918-4863
Mailing address
1151 MALLARD MARSH DR, OSPREY, FL 34229-6810
(941) 918-4863
(941) 918-4863
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MA027043
NJ
208000000X
Pediatrics Physician
Primary
ME96637
FL
Other
Enumeration date
06/13/2006
Last updated
03/22/2010
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