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NPI Code Detail

MEDICARE: DR. EDWARD J MILCARSKY M.D.

MEDICARE:  DR. EDWARD J MILCARSKY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME0058714FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114366OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31033116744OTHERFLTRICARE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033116744
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD J MILCARSKY M.D.
Provider Business Mailing Address
First Line : PO BOX 9671
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32120-9671
Country : US
Telephone Number : 386-427-4868
Fax Number : 386-427-6350
Provider Business Practice Location Address
First Line : 239 N RIDGEWOOD AVE
Second Line :
City : EDGEWATER
State : FL
Zip : 32132-1734
Country : US
Telephone Number : 386-427-4868
Fax Number : 386-427-6350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/15/2013

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Directions to “ DR. EDWARD J MILCARSKY M.D.” Practice Location

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