Edwards, Michael Anthony

Edwards, Michael Anthony is an individual health care provider with primary practice located at 4500 San Pablo Rd S , Jacksonville FL 32224-1865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Edwards, Michael Anthony can be contacted via phone (215) 707-3133.

Contact Information

Primary practice address
4500 San Pablo Rd S Jacksonville FL 32224-1865
Phone: (215) 707-3133
Fax: (215) 707-3945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 057799 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X MD450548 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 223815 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X ME136929 Florida

Profile Details

NPI number 1013967884
LBN Legal business name Edwards, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Aug 31st, 2020 - about 6 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 1013967884 NPPES
Georgia MEDICAID 710203021B
Georgia MEDICAID 710203021D
Georgia MEDICAID 710203021A
Georgia MEDICAID 710203021E
Georgia MEDICAID G57799
Georgia Other P00423698
Georgia MEDICAID 710203021C

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