Edwards, Courtney Michelle
Edwards, Courtney Michelle is an individual health care provider with primary practice located at 1150 N 35Th Ave Ste 200 , Hollywood FL 33021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Edwards, Courtney Michelle can be contacted via phone (954) 265-0000.Contact Information
Primary practice address
1150 N 35Th Ave Ste 200
Hollywood FL 33021
Phone: (954) 265-0000
Fax: (954) 893-6347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME128164 | Florida |
Profile Details
| NPI number | 1477874907 |
|---|---|
| LBN Legal business name | Edwards, Courtney Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2010 |
| Last updated | Mar 19th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477874907 | NPPES |
| Florida | MEDICAID | 017375600 |
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