Edwards, Eric Justin

Edwards, Eric Justin is an individual health care provider with primary practice located at 505 Oakfield Dr , Brandon FL 33511-5700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Edwards, Eric Justin can be contacted via phone (813) 684-2229.

Contact Information

Primary practice address
505 Oakfield Dr Brandon FL 33511-5700
Phone: (813) 684-2229
Fax: (813) 813-0330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME68617 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME68617 Florida

Profile Details

NPI number 1285698530
LBN Legal business name Edwards, Eric Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Dec 31st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285698530 NPPES
Florida MEDICAID 022971300

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