Edwards, Joanna Rose
Edwards, Joanna Rose is an individual health care provider with primary practice located at 1565 Saxon Blvd Suite 102, Deltona FL 32725-5876. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Edwards, Joanna Rose can be contacted via phone (386) 917-7395.Contact Information
Primary practice address
1565 Saxon Blvd Suite 102
Deltona FL 32725-5876
Phone: (386) 917-7395
Fax: (386) 532-7152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME122122 | Florida |
Profile Details
| NPI number | 1558791434 |
|---|---|
| LBN Legal business name | Edwards, Joanna Rose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2013 |
| Last updated | May 4th, 2026 - about 5 months 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 | 1558791434 | NPPES |
| Florida | MEDICAID | 014925500 |
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