Edwards, James Randall

Edwards, James Randall is an individual health care provider with primary practice located at Bond Clinic, P.A. 500 East Central Avenue, Winter Haven FL 33880. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Edwards, James Randall can be contacted via phone (863) 293-1191.

Contact Information

Primary practice address
Bond Clinic, P.A. 500 East Central Avenue Winter Haven FL 33880
Phone: (863) 293-1191
Fax: (863) 293-3635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 38156 Florida

Profile Details

NPI number 1275539298
LBN Legal business name Edwards, James Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Feb 25th, 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 1275539298 NPPES
Florida MEDICAID 0655473-00

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