Richard Bruce Edison in Ft Lauderdale - Plastic And Reconstructive Surgery

Richard Bruce Edison - NPI 1619193745

Richard Bruce Edison is a Plastic And Reconstructive Surgery in Ft Lauderdale, Florida. Richard Bruce Edison practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Richard Bruce Edison is 1619193745. The last update date is 2007-07-08.

Richard Bruce Edison's current location address is 3109 Stirling Rd, Ft Lauderdale, Florida. You can contact this provider via phone number 9549813223 and fax number 9549642719. The mailing address for Richard Bruce Edison is 3109 Stirling Rd, Ft Lauderdale, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Bruce Edison
Address 3109 Stirling Rd, Ft Lauderdale, Florida
Phone Number 9549813223
Fax Number 9549642719
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1619193745
Provider Enumeration Date 2007-04-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3109 Stirling Rd
City Ft Lauderdale
State Florida (FL)
Post Code 333126558
Phone Number 9549813223
Fax Number 9549642719

Provider's Primary Taxonomy Detail

Speciality Plastic And Reconstructive Surgery
Taxonomy 2086S0122X
Licence No ME44240
Definition:
A surgeon who specializes in plastic and reconstructive surgery.

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FAQs about Richard Bruce Edison

What is the unique 10-digit identifier code assigned to Richard Bruce Edison by the Centers for Medicare & Medicaid Services?

The Richard Bruce Edison has been issued the NPI (National Provider Identifier) 1619193745 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Richard Bruce Edison is located?

The Richard Bruce Edison is situated at the following address: 3109 Stirling Rd, Ft Lauderdale, FL, 333126558.

What is Richard Bruce Edison's specialized field of practice, and what is the corresponding taxonomy classification code?

The Richard Bruce Edison's area of specialization is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0122X.

On what date did the Centers for Medicare & Medicaid Services issue the 1619193745 to Richard Bruce Edison?

The Richard Bruce Edison received its 1619193745 assignment from the Centers for Medicare & Medicaid Services on 2007-04-17.

As of what date was the information regarding Richard Bruce Edison, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Richard Bruce Edison, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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