| Blecker Md Llc | |
|
229 Sebastian Blvd Sebastian FL 32958-4616 | |
| (772) 581-0016 | |
| (772) 581-1198 |
| Full Name | Blecker Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 229 Sebastian Blvd, Sebastian, Florida |
| Authorized Official Name and Position | Karen P Hayes (CFO) |
| Authorized Official Contact | 3527990046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blecker Md Llc 14690 Spring Hill Dr Ste 101 Spring Hill FL 34609-8102 Ph: (352) 799-0046 | Blecker Md Llc 229 Sebastian Blvd Sebastian FL 32958-4616 Ph: (772) 581-0016 |
| NPI Number | 1922874916 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 11/30/2023 |
| Medicare PECOS PAC ID | 4587016118 |
|---|---|
| Medicare Enrollment ID | O20240119001319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922874916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edgar R Blecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952388100 PECOS PAC ID: 8123012259 Enrollment ID: I20040413000480 |
| Provider Name | Edgar Rene Blecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134616949 PECOS PAC ID: 5395097943 Enrollment ID: I20210922001872 |
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