Provider Demographics
NPI:1881704054
Name:DRASS, EDWARD FRANK (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:FRANK
Last Name:DRASS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:530 SE 16TH PL
Mailing Address - Street 2:SUITE B
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-1631
Mailing Address - Country:US
Mailing Address - Phone:239-574-2224
Mailing Address - Fax:239-574-5137
Practice Address - Street 1:530 SE 16TH PL
Practice Address - Street 2:SUITE B
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-1631
Practice Address - Country:US
Practice Address - Phone:239-574-2224
Practice Address - Fax:239-574-5137
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
FLME 35374207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD27261Medicare UPIN