Individual
DR. EDWIN MICHAEL C SIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 PARK PLACE BLVD, DAVENPORT, FL 33837-6858
(863) 421-1855
(863) 421-2624
Mailing address
103 PARK PLACE BLVD, DAVENPORT, FL 33837-6858
(863) 421-1855
(863) 421-2624
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME92906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273638100
—
FL
01
—
37251
BCBS
FL
Enumeration date
07/24/2006
Last updated
05/06/2026
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