Edmiston, Mary-Ellen Adele

Edmiston, Mary-Ellen Adele is an individual health care provider with primary practice located at 3470 Lakeland Hills Blvd , Lakeland FL 33805-1946. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Edmiston, Mary-Ellen Adele can be contacted via phone (863) 682-0027.

Contact Information

Primary practice address
3470 Lakeland Hills Blvd Lakeland FL 33805-1946
Phone: (863) 682-0027
Fax: (863) 682-3006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X OS16990 Florida

Profile Details

NPI number 1427477470
LBN Legal business name Edmiston, Mary-Ellen Adele
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2014
Last updated Jul 27th, 2020 - about 4 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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