Edouard, George

Edouard, George is an individual health care provider with primary practice located at 4330 W Broward Blvd Suite C, Plantation FL 33317-3775. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Edouard, George can be contacted via phone (954) 587-0351.

Contact Information

Primary practice address
4330 W Broward Blvd Suite C Plantation FL 33317-3775
Phone: (954) 587-0351
Fax: (954) 990-6464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME54597 Florida

Profile Details

NPI number 1457353948
LBN Legal business name Edouard, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Apr 24th, 2013 - about 13 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 1457353948 NPPES
Florida MEDICAID 045656099

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