Dr Edward L Blackman, MD | |
1151 Mallard Marsh Dr, Osprey, FL 34229-6810 | |
(941) 918-4863 | |
(941) 918-4863 |
Full Name | Dr Edward L Blackman |
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Gender | Male |
Speciality | Pediatrics |
Location | 1151 Mallard Marsh Dr, Osprey, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851334445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MA027043 (New Jersey) | Secondary |
208000000X | Pediatrics | ME96637 (Florida) | Primary |
Entity Name | Lavender Health Care Of Florida, Lllp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811210735 PECOS PAC ID: 9234315631 Enrollment ID: O20110519000571 |
Mailing Address | Practice Location Address |
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Dr Edward L Blackman, MD 1151 Mallard Marsh Dr, Osprey, FL 34229-6810 Ph: (941) 918-4863 | Dr Edward L Blackman, MD 1151 Mallard Marsh Dr, Osprey, FL 34229-6810 Ph: (941) 918-4863 |
Rachel A Dahlborg, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 929 S Tamiami Trl, Suite 101, Osprey, FL 34229 Phone: 941-917-4700 Fax: 941-917-4710 | |
Lindsey Aber Finnegan, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 929 S Tamiami Trl Ste 101, Osprey, FL 34229 Phone: 941-917-4700 Fax: 941-917-4710 | |
Dr. Karen Marie Hamad, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 929 S Tamiami Trl, 101, Osprey, FL 34229 Phone: 941-917-4700 Fax: 941-917-4710 | |
Dr. John W Wassenaar, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 929 S Tamiami Trl, Suite 101, Osprey, FL 34229 Phone: 941-917-4700 Fax: 941-917-4710 | |
Dr. John S Rodman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 929 S Tamiami Trl, Suite 101, Osprey, FL 34229 Phone: 941-917-4700 Fax: 941-917-4710 |