Edmonds, Sonja L

Edmonds, Sonja L is an individual health care provider with primary practice located at 1507 W Reynolds St , Plant City FL 33563-4702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Edmonds, Sonja L can be contacted via phone (813) 719-3716.

Contact Information

Primary practice address
1507 W Reynolds St Plant City FL 33563-4702
Phone: (813) 719-3716
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2010-01776 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R4832 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 159135 Florida

Profile Details

NPI number 1487679023
LBN Legal business name Edmonds, Sonja L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Feb 10th, 2023 - about last year

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 1487679023 NPPES
North Carolina MEDICAID 5916622
North Carolina MEDICAID 377546202

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