Edwards, William Lane

Edwards, William Lane is an individual health care provider with primary practice located at 4161 Tamiami Trl Suite 201, Port Charlotte FL 33952-9204. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Edwards, William Lane can be contacted via phone (941) 764-0800.

Contact Information

Primary practice address
4161 Tamiami Trl Suite 201 Port Charlotte FL 33952-9204
Phone: (941) 764-0800
Fax: (941) 764-6494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN768592 Florida

Profile Details

NPI number 1861480790
LBN Legal business name Edwards, William Lane
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated May 10th, 2016 - about 8 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 1861480790 NPPES
Florida MEDICAID 302767800
Florida Other Y48882

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