Edwards, Jefferson R.

Edwards, Jefferson R. is an individual health care provider with primary practice located at 14540 Old Saint Augustine Rd Suite 2571, Jacksonville FL 32258-7418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Edwards, Jefferson R. can be contacted via phone (904) 886-2251.

Contact Information

Primary practice address
14540 Old Saint Augustine Rd Suite 2571 Jacksonville FL 32258-7418
Fax: (904) 886-7151
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME61528 Florida

Profile Details

NPI number 1518925395
LBN Legal business name Edwards, Jefferson R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jun 15th, 2011 - about 15 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 1518925395 NPPES
Other 2683030 CIGNA
Other 14861 CIGNA
Other 4236497 CIGNA
Other 227864 CIGNA
Other 020034505 CIGNA

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