Individual
EDWARD MICHAELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2030 W MCNAB RD, FORT LAUDERDALE, FL 33309-1002
(954) 401-7505
Mailing address
6278 N FEDERAL HWY, SUITE #454, FORT LAUDERDALE, FL 33308-1916
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
ME14617
FL
207RP1001X
Pulmonary Disease Physician
ME0014617
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
ME14617
FL
209800000X
Legal Medicine (M.D./D.O.) Physician
ME14617
FL
Other
Enumeration date
08/17/2005
Last updated
06/04/2010
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