| Edward D. Tribuzio, M.d., P.a. | |
|
1340 S 18th St Suite 204 Fernandina Beach FL 32034-4799 | |
| (904) 261-0643 | |
| Not Available |
| Full Name | Edward D. Tribuzio, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1340 S 18th St, Fernandina Beach, Florida |
| Authorized Official Name and Position | Edward Dominick Tribuzio (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9042610643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward D. Tribuzio, M.d., P.a. 1340 S 18th St Suite 204 Fernandina Beach FL 32034-4799 Ph: (904) 261-0643 | Edward D. Tribuzio, M.d., P.a. 1340 S 18th St Suite 204 Fernandina Beach FL 32034-4799 Ph: (904) 261-0643 |
| NPI Number | 1891063509 |
|---|---|
| Provider Enumeration Date | 12/08/2011 |
| Last Update Date | 12/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891063509 | NPI | - | NPPES |
| 067854600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | FLME42515 (Florida) | Primary |
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