Edwards, Roxanne L

Edwards, Roxanne L is an individual health care provider with primary practice located at 2434 S Glencoe Rd , New Smyrna Beach FL 32168-9360. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Edwards, Roxanne L can be contacted via phone (285) 424-9740.

Contact Information

Primary practice address
2434 S Glencoe Rd New Smyrna Beach FL 32168-9360
Phone: (285) 424-9740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0055092 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X ME0055092 Florida

Profile Details

NPI number 1154468734
LBN Legal business name Edwards, Roxanne L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Dec 16th, 2019 - about 6 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 1154468734 NPPES
Florida MEDICAID 063395000
Florida Other 2008-00902

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