| Dr Edwin L Stroup, MD | |
|
13695 Us Highway 1, Sebastian, FL 32958 | |
| (772) 589-3186 | |
| Not Available |
| Full Name | Dr Edwin L Stroup |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 13695 Us Highway 1, Sebastian, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508908369 | NPI | - | NPPES |
| 8306912 | Medicaid | WA | |
| G000362000 | Other | WA | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 00018398 (Washington) | Secondary |
| 207P00000X | Emergency Medicine | ME121393 (Florida) | Primary |
| Entity Name | Mid-florida Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558630152 PECOS PAC ID: 8426213596 Enrollment ID: O20120625000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edwin L Stroup, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Edwin L Stroup, MD 13695 Us Highway 1, Sebastian, FL 32958 Ph: (772) 589-3186 |
Dr. Jennifer Ann Adams Bryan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13695 Us Highway 1, Sebastian, FL 32958 Phone: 772-589-3186 Fax: 561-388-3689 | |
Dr. Dawn Davidson-jockovich, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13695 Us Highway 1, Sebastian, FL 32958 Phone: 772-581-2044 |