Edelenbos, Eric J.

Edelenbos, Eric J. is an individual health care provider with primary practice located at 3000 Hunters Creek Blvd , Orlando FL 32837-6901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Edelenbos, Eric J. can be contacted via phone (407) 857-2502.

Contact Information

Primary practice address
3000 Hunters Creek Blvd Orlando FL 32837-6901
Phone: (407) 857-2502
Fax: (407) 857-1855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X OS9412 Florida

Profile Details

NPI number 1376504662
LBN Legal business name Edelenbos, Eric J.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Nov 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376504662 NPPES
Florida MEDICAID 273408700

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