Edwin D. Flanagan D.O.

NPI 1043239866 - Internal Medicine - 207RG0100X

NPI Details
NPI 1043239866
Gender Male
Enumeration Date 07/19/2006
Last Updated 01/21/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1651 SE TIFFANY AVE
PORT ST LUCIE FL, 34952-7564, US
Phone (772) 398-1800
Fax (772) 398-1815
Business Location
PO BOX 417
STUART FL, 34995-0417, US
Phone (772) 223-5665
Fax (772) 223-5646
Toxanomy
Taxonomy Code 207RG0100X
License State Florida
License Number OS6311
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According to our database, Edwin D. Flanagan D.O. NPI is 1043239866, taxonomy code is 207RG0100X and license number is OS6311, license state is located at Florida. Edwin D. Flanagan D.O. physically located at 1651 Se Tiffany Ave, Port St Lucie FL, 34952-7564. NPI Number Edwin D. Flanagan D.O. has the Individual type.

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1043239866 NPI number is provided on an as is basis without warranty of any kind. 1043239866 is maintained by the National Plan & Provider Enumeration System. The contents of Edwin D. Flanagan D.O. are for informational purposes only.