Individual
DR. ERIC BLAINE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
761 EDGEWOOD AVE N, UFJP COMMONWEALTH FAMILY PRACTICE CENTER, JACKSONVILLE, FL 32254-3013
(904) 633-0500
(904) 633-0519
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME52949
FL
Other
Enumeration date
03/14/2006
Last updated
04/02/2008
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