Organization
EDGAR R BLECKER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR RENE BLECKER MD (PRESIDENT)
(772) 581-0016
Entity
Organization
Contact information
Practice address
229 SEBASTIAN BOULEVARD, SEBASTIAN, FL 32958
(772) 581-0016
(772) 581-1198
Mailing address
229 SEBASTIAN BOULEVARD, SEBASTIAN, FL 32958
(772) 581-0016
(772) 581-1198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME78368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095910
WELLMED
FL
01
—
35392
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
01
—
DB1340
RAILROAD MEDICARE
FL
Enumeration date
07/11/2006
Last updated
03/15/2017
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