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Individual

DR. MICAH BOAZ OBADIAH EDWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4850 W OAKLAND PARK BLVD STE 224, LAUDERDALE LAKES, FL 33313-7261
(786) 214-2001
Mailing address
4850 W OAKLAND PARK BLVD STE 224, LAUDERDALE LAKES, FL 33313-7261
(954) 835-5863
(954) 800-6038

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
2010-01073
NC
208D00000X
General Practice Physician
261987
NY
208D00000X
General Practice Physician
Primary
ME143503
FL

Other

Enumeration date
06/21/2010
Last updated
03/08/2026
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