Todd, Edward Robert

Todd, Edward Robert is an individual health care provider with primary practice located at 1490 Se Magnolia Ave. Ext. , Ocala FL 34471. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Todd, Edward Robert can be contacted via phone (352) 671-4221.

Contact Information

Primary practice address
1490 Se Magnolia Ave. Ext. Ocala FL 34471
Phone: (352) 671-4221
Fax: (352) 671-4393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2900 Florida

Profile Details

NPI number 1477517647
LBN Legal business name Todd, Edward Robert
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Mar 17th, 2018 - about 8 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 1477517647 NPPES
Florida Other E0967S QSS SCS PTAN
Florida MEDICAID 290164100 QSS SCS PTAN

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