Edwards, James Randall
Edwards, James Randall is an individual health care provider with primary practice located at Bond Clinic, P.A. 500 East Central Avenue, Winter Haven FL 33880. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Edwards, James Randall can be contacted via phone (863) 293-1191.Contact Information
Primary practice address
Bond Clinic, P.A. 500 East Central Avenue
Winter Haven FL 33880
Phone: (863) 293-1191
Fax: (863) 293-3635
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME 38156 | Florida |
Profile Details
NPI number | 1275539298 |
---|---|
LBN Legal business name | Edwards, James Randall |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2005 |
Last updated | Feb 25th, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275539298 | NPPES |
Florida | MEDICAID | 0655473-00 |
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