Samuel M Edwards is a Specialist in Deland, Florida. Samuel M Edwards practices all healthcare services and medical treatments related to Specialist. The NPI Number for Samuel M Edwards is 1386706000. The last update date is 2011-08-02.
Samuel M Edwards's current location address is 750 W Plymouth Ave, Deland, Florida. You can contact this provider via phone number 3867367244 and fax number 3867368538. The mailing address for Samuel M Edwards is 750 W Plymouth Ave, Deland, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Samuel M Edwards |
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Address | 750 W Plymouth Ave, Deland, Florida |
Phone Number | 3867367244 |
Fax Number | 3867368538 |
Sole Proprietor | Y |
Credentials | M. D. |
NPI Number Detail
NPI Number | 1386706000 |
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Provider Enumeration Date | 2006-12-16 |
Last Updated Date | 2011-08-02 |
Provider Mailing Address Detail
Address | 750 W Plymouth Ave |
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City | Deland |
State | Florida (FL) |
Post Code | 327203282 |
Phone Number | 3867367244 |
Fax Number | 3867368538 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | ME0066309 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
272821400 | FL | -- |
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What is the unique identifier code issued to Samuel M Edwards by the Centers for Medicare & Medicaid Services?
The Samuel M Edwards has been assigned the NPI (National Provider Identifier) 1386706000. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Samuel M Edwards's physical address?
The Samuel M Edwards is physically located at 750 W Plymouth Ave, in the city of Deland, FL, with the postal code 327203282.
What is the Samuel M Edwards's specialty and taxonomy code?
The Samuel M Edwards's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386706000 to Samuel M Edwards?
The Samuel M Edwards received its 1386706000 assignment from the Centers for Medicare & Medicaid Services on 2006-12-16.
When was the Samuel M Edwards's information last updated?
The Samuel M Edwards's information was last updated on 2011-08-02.