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1942278148
ERIC BLAINE STEWART
JACKSONVILLE, FL
NPI
1942278148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME52949)
Enumeration Date
2006-03-14
Last Update Date
2008-04-02
Business Address
Dr. ERIC BLAINE STEWART M.D.
761 EDGEWOOD AVE N UFJP COMMONWEALTH FAMILY PRACTICE CENTER
JACKSONVILLE, FL 32254-3013
Phone number: 904-633-0500
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Mailing Address
Dr. ERIC BLAINE STEWART M.D.
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number:
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