Edelen, Connie
Edelen, Connie is an individual health care provider with primary practice located at 4266 Sunbeam Rd , Jacksonville FL 32257-2425. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Edelen, Connie can be contacted via phone (904) 407-7700.Contact Information
Primary practice address
4266 Sunbeam Rd
Jacksonville FL 32257-2425
Phone: (904) 407-7700
Fax: (904) 407-6001
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 2010-00028 | North Carolina |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 0116018187 | Virginia |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | ME134775 | Florida |
Profile Details
NPI number | 1063620722 |
---|---|
LBN Legal business name | Edelen, Connie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 18th, 2007 |
Last updated | May 8th, 2019 - about 5 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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