| Eddie A. Negron, M.d., P.a. | |
|
921 Mar Walt Dr Fort Walton Beach FL 32547-6759 | |
| (850) 864-1771 | |
| (850) 864-1716 |
| Full Name | Eddie A. Negron, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 921 Mar Walt Dr, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Eddie Alberto Negron (OWNER) |
| Authorized Official Contact | 8508641771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eddie A. Negron, M.d., P.a. Po Box 960 Shalimar FL 32579-0960 Ph: (850) 864-1771 | Eddie A. Negron, M.d., P.a. 921 Mar Walt Dr Fort Walton Beach FL 32547-6759 Ph: (850) 864-1771 |
| NPI Number | 1588796635 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588796635 | NPI | - | NPPES |
| 02379 | Other | FL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME#49544 (Florida) | Primary |
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