Edwards, Elena

Edwards, Elena is an individual health care provider with primary practice located at 3907 S Jog Rd , Greenacres FL 33467-1590. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Edwards, Elena can be contacted via phone (561) 432-3455.

Contact Information

Primary practice address
3907 S Jog Rd Greenacres FL 33467-1590
Phone: (561) 432-3455
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036116850 Illinois

Profile Details

NPI number 1568524098
LBN Legal business name Edwards, Elena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 27th, 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 1568524098 NPPES
Illinois MEDICAID 036116850

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