Edwards, Samuel M
Edwards, Samuel M is an sole proprietor health care provider with primary practice located at 750 W Plymouth Ave , Deland FL 32720-3282. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Edwards, Samuel M can be contacted via phone (386) 736-7244.Contact Information
Primary practice address
750 W Plymouth Ave
Deland FL 32720-3282
Phone: (386) 736-7244
Fax: (386) 736-8538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME0066309 | Florida |
Profile Details
| NPI number | 1386706000 |
|---|---|
| LBN Legal business name | Edwards, Samuel M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2006 |
| Last updated | Aug 2nd, 2011 - about 13 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 | 1386706000 | NPPES |
| Florida | MEDICAID | 272821400 |
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