Provider Demographics
NPI:1780673814
Name:FLOTTE, EDWARD R (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:R
Last Name:FLOTTE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3280 DAUPHIN ST
Mailing Address - Street 2:BUILDING A
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-4060
Mailing Address - Country:US
Mailing Address - Phone:251-450-3700
Mailing Address - Fax:251-662-3819
Practice Address - Street 1:3280 DAUPHIN ST
Practice Address - Street 2:BUILDING A
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-4060
Practice Address - Country:US
Practice Address - Phone:251-450-3700
Practice Address - Fax:251-662-3819
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AL26744207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-01488Medicare ID - Type Unspecified
ALI24035Medicare UPIN