Individual
MR. EDWARD R. DUPAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3033 WINKLER AVENUE, SUITE 100, FORT MYERS, FL 33916
(239) 277-7070
(239) 277-7071
Mailing address
3033 WINKLER AVENUE, SUITE 100, FORT MYERS, FL 33916
(239) 277-7070
(239) 277-7071
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS4788
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046335300
—
FL
01
—
071682
AETNA NON HMO
FL
01
—
0905249
UNITED HEALTHCARE
FL
01
—
1003858
PHP
FL
01
—
15743
STAYWELL
FL
01
—
1806973002
CIGNA
FL
01
—
201702
AMERIGROUP
FL
01
—
275660900
MEDICIAD GROUP NUMBER
FL
01
—
650075827
TAX ID FOR GROUP
FL
01
—
80519
BCBS & MEDICARE GROUP
FL
01
—
82973
BCBS
FL
Enumeration date
10/10/2005
Last updated
11/25/2022
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