Individual
CONNIE EDELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
(904) 407-7700
(904) 407-6001
Mailing address
4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
(904) 407-7700
(904) 407-6001
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
2010-00028
NC
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
ME134775
FL
390200000X
Student in an Organized Health Care Education/Training Program
0116018187
VA
Other
Enumeration date
05/18/2007
Last updated
05/08/2019
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