Dr. Eric Walter Bludau
Endodontist
385 Harbor Blvd Ste 210
Destin
, Florida 32541-2351
Dr. Eric Walter Bludau
Endodontist
385 Harbor Blvd Ste 210
Destin
, Florida 32541-2351
(850) 650-5347
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Eric Walter Bludau
- 385 Harbor Blvd Ste 210
- Destin, FL
- Zip : 32541-2351
- Fax : (850) 650-5347
- Phone : (850) 650-5067
Second Address
- Dr. Eric Walter Bludau
- 385 Harbor Blvd Ste 210
- Destin, FL
- Zip : 32541-2351
- Fax : (850) 650-5347
- Phone : (850) 650-5067
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | DN 15939 | FL |
National Provider Identifier
| NPI | 1073601548 |
|---|---|
| Provider Name | Dr. Eric Walter Bludau |
| First Address | Destin, FL 32541-2351 |
| Second Address | Destin, FL 32541-2351 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2006 |
| Last Update Date | 25/09/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.