St. Mary, Edward W
St. Mary, Edward W is an sole proprietor health care provider with primary practice located at 205 E Nasa Blvd , Melbourne FL 32901-1950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. St. Mary, Edward W can be contacted via phone (321) 361-5625.Contact Information
Primary practice address
205 E Nasa Blvd
Melbourne FL 32901-1950
Phone: (321) 361-5625
Fax: (321) 728-8649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME53713 | Florida |
Profile Details
| NPI number | 1679558720 |
|---|---|
| LBN Legal business name | St. Mary, Edward W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Mar 19th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679558720 | NPPES |
| Florida | MEDICAID | 013473400 | |
| Florida | Other | 200037430 | |
| Florida | Other | 07142 |
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