Individual
EDGAR R BLECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13090 US HIGHWAY 1, SEBASTIAN, FL 32958-3733
(772) 589-3755
(772) 589-2315
Mailing address
5400 PINEHURST DR, SPRING HILL, FL 34606-3833
(352) 277-5348
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME78368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35392
BC&BS PROVIDER #
FL
Enumeration date
12/29/2005
Last updated
10/26/2023
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