Samuel M Edwards M D P A

LBN: Samuel M Edwards M D P A
Samuel M Edwards M D P A is an health care organization with primary practice located at 750 W Plymouth Ave , Deland FL 32720-3282. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Samuel M Edwards M D P A can be contacted via phone (386) 736-7244, or through Tarnowski, Lynette A via phone (386) 736-7244.

Contact Information

Primary practice address
750 W Plymouth Ave Deland FL 32720-3282
Phone: (386) 736-7244
Fax: (386) 736-8538
Website:
Map and Directions
Authorized official contact:
Name: Tarnowski, Lynette A
Phone: (386) 736-7244

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0066309 Florida

Profile Details

NPI number 1023394707
LBN Legal business name Samuel M Edwards M D P A
DBA Doing business as
Authorized official Tarnowski, Lynette A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2011
Last updated Oct 26th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023394707 NPPES
Florida MEDICAID 272821400

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